JACK EDWARD LEAL

WEATHERFORD, TX
NPI1578149993
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-03-24
Last Update Date2021-03-24
Business Address
JACK EDWARD LEAL
713 E ANDERSON ST
WEATHERFORD, TX 76086-5705
Phone number: 682-582-2922
Mailing Address
JACK EDWARD LEAL
713 E ANDERSON ST
WEATHERFORD, TX 76086-5705
Phone number:
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