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1477608446
LORENZO VASQUEZ
FORT WORTH, TX
NPI
1477608446
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: TX SA00417)
Enumeration Date
2007-01-23
Last Update Date
2014-04-10
Business Address
Mr. LORENZO VASQUEZ LSA
7451 CHAPEL AVE
FORT WORTH, TX 76116-7090
Phone number: 817-294-7444
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Mailing Address
Mr. LORENZO VASQUEZ LSA
PO BOX 860031
PLANO, TX 75086-0031
Phone number: 817-294-7444
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