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1457324782
JAMES S DISTEFANO
BRYAN, TX
NPI
1457324782
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207PS0010X Emergency Medicine, Sports Medicine
(Licence: TX m7149)
Enumeration Date
2006-02-08
Last Update Date
2018-10-10
Business Address
Dr. JAMES S DISTEFANO DO
3201 UNIVERSITY DR E STE 320
BRYAN, TX 77802-3478
Phone number: 979-704-5029
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Mailing Address
Dr. JAMES S DISTEFANO DO
3201 UNIVERSITY DR E STE 320
BRYAN, TX 77802-3478
Phone number: 979-704-5029
Copy
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