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1538760640
ANCELMO MOJARRO
TYLER, TX
NPI
1538760640
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: TX 2154652)
Enumeration Date
2020-11-04
Last Update Date
2020-11-04
Business Address
ANCELMO MOJARRO PTA
100 E FERGUSON ST
TYLER, TX 75702-5759
Phone number: 903-509-2040
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Mailing Address
ANCELMO MOJARRO PTA
100 E FERGUSON ST
TYLER, TX 75702-5759
Phone number: 903-509-2040
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