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1487986105
JORGE ALBERTO DE LEON
SAN ANTONIO, TX
NPI
1487986105
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 208829)
Enumeration Date
2010-02-04
Last Update Date
2010-02-04
Business Address
JORGE ALBERTO DE LEON COTA
400 E QUINCY ST
SAN ANTONIO, TX 78215-1934
Phone number: 210-472-0211
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Mailing Address
JORGE ALBERTO DE LEON COTA
400 E QUINCY ST
SAN ANTONIO, TX 78215-1934
Phone number:
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