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1568887735
CHRISTOPHER MEDINA
EL PASO, TX
NPI
1568887735
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
311Z00000X Custodial Care Facility
Enumeration Date
2014-02-25
Last Update Date
2014-02-25
Business Address
-- CHRISTOPHER MEDINA LVN
6236 QUAIL AVE
EL PASO, TX 79924-4307
Phone number: 915-204-8267
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Mailing Address
-- CHRISTOPHER MEDINA LVN
6236 QUAIL AVE
EL PASO, TX 79924-4307
Phone number: 915-204-8267
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