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1518604347
JOSE ALFREDO DE LA GARZA
SAN ANTONIO, TX
NPI
1518604347
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 440309)
Enumeration Date
2022-05-13
Last Update Date
2022-05-13
Business Address
Mr. JOSE ALFREDO DE LA GARZA COTA
14111 VANCE JACKSON RD APT 4103
SAN ANTONIO, TX 78249-1982
Phone number: 956-792-5372
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Mailing Address
Mr. JOSE ALFREDO DE LA GARZA COTA
14111 VANCE JACKSON RD APT 4103
SAN ANTONIO, TX 78249-1982
Phone number: 956-792-5372
Copy
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