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1467935569
ANDREW EDWARD TABASCO PANGAN
LAREDO, TX
NPI
1467935569
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2251G0304X Physical Therapist, Geriatrics
(Licence: TX 1293860)
Enumeration Date
2018-09-13
Last Update Date
2018-09-13
Business Address
ANDREW EDWARD TABASCO PANGAN PT
1200 E LANE ST
LAREDO, TX 78040-7210
Phone number: 956-722-0031
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Mailing Address
ANDREW EDWARD TABASCO PANGAN PT
1601 FREMONT ST APT 208
LAREDO, TX 78043-2660
Phone number: 805-710-0793
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