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1487394961
SUMMER HAZEL VILLA
SAN ANTONIO, TX
NPI
1487394961
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208D00000X General Practice
(Licence: CO 0072319)
Enumeration Date
2022-03-31
Last Update Date
2024-01-19
Business Address
SUMMER HAZEL VILLA MD
3551 ROGER BROOKE DR
SAN ANTONIO, TX 78234-4504
Phone number: 210-916-4789
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Mailing Address
SUMMER HAZEL VILLA MD
3551 ROGER BROOKE DR
SAN ANTONIO, TX 78234-4504
Phone number: 210-916-4789
Copy
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