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1568015998
LISA YVONNE FEDERICO
SAN ANTONIO, TX
NPI
1568015998
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 152584)
Enumeration Date
2019-07-24
Last Update Date
2019-07-24
Business Address
Mrs. LISA YVONNE FEDERICO
8700 CROWNHILL BLVD STE 300
SAN ANTONIO, TX 78209-1128
Phone number: 210-824-5530
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Mailing Address
Mrs. LISA YVONNE FEDERICO
3714 CASCADE CV
SAN ANTONIO, TX 78259-2349
Phone number: 210-724-6870
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