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1518004779
ROGELIO CARRASCO
FORT SAM HOUSTON, TX
NPI
1518004779
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CT 002296)
Enumeration Date
2007-01-30
Last Update Date
2020-04-15
Business Address
Mr. ROGELIO CARRASCO PA
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234-4504
Phone number: 210-808-2376
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Mailing Address
Mr. ROGELIO CARRASCO PA
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234-4504
Phone number: 210-808-2376
Copy
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