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1548770977
FERMIN ELIZALDE DOMINGUEZ
SAN ANTONIO, TX
NPI
1548770977
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WR0006X Registered Nurse, Registered Nurse First Assistant
(Licence: TX 753893)
Enumeration Date
2017-10-12
Last Update Date
2017-10-12
Business Address
FERMIN ELIZALDE DOMINGUEZ
3463 MAGIC DR STE T21
SAN ANTONIO, TX 78229-3621
Phone number: 210-614-8101
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Mailing Address
FERMIN ELIZALDE DOMINGUEZ
9219 CENTRO GRANDE
SAN ANTONIO, TX 78245-1291
Phone number:
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