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1538894829
MIGUEL VERGARA
FORT BLISS, TX
NPI
1538894829
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171000000X Military Health Care Provider
(Licence: TX 770304)
Enumeration Date
2022-07-20
Last Update Date
2024-08-22
Business Address
Mr. MIGUEL VERGARA
18511 HIGHLANDER MEDICS ST
FORT BLISS, TX 79906-5327
Phone number: 915-742-2273
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Mailing Address
Mr. MIGUEL VERGARA
3216 TITANIC AVE
EL PASO, TX 79904-3023
Phone number: 915-238-6824
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