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1538684055
IVAN JAVIER AVILA
EL PASO, TX
NPI
1538684055
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2017-08-04
Last Update Date
2019-02-06
Business Address
Mr. IVAN JAVIER AVILA PA-C
7430 N MESA ST
EL PASO, TX 79912-3504
Phone number: 915-875-1801
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Mailing Address
Mr. IVAN JAVIER AVILA PA-C
7430 N MESA ST
EL PASO, TX 79912-3504
Phone number: 915-875-1801
Copy
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