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1497142160
JIMMY LARUE CONNER
SAN ANTONIO, TX
NPI
1497142160
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: TX PA00612)
Enumeration Date
2015-04-21
Last Update Date
2015-04-21
Business Address
Mr. JIMMY LARUE CONNER PA-C
2903 DEER LEDGE
SAN ANTONIO, TX 78230-4554
Phone number: 210-213-1817
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Mailing Address
Mr. JIMMY LARUE CONNER PA-C
2903 DEER LEDGE
SAN ANTONIO, TX 78230-4554
Phone number: 210-213-1817
Copy
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