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1467837971
CRISENCIANO ANGELO PANES CANGO
BROWNWOOD, TX
NPI
1467837971
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2110137)
Enumeration Date
2015-07-26
Last Update Date
2015-07-26
Business Address
Mr. CRISENCIANO ANGELO PANES CANGO
1801 SLAYDEN ST APT 7
BROWNWOOD, TX 76801-5522
Phone number: 325-203-0351
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Mailing Address
Mr. CRISENCIANO ANGELO PANES CANGO
5900 W SAMPLE RD APT 304
CORAL SPRINGS, FL 33067-3268
Phone number: 325-203-0351
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