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1578698940
EDNA JANISSE CARABALLO-GONZALEZ
SAN ANTONIO, TX
NPI
1578698940
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA15283)
Enumeration Date
2007-02-23
Last Update Date
2024-03-29
Business Address
Mrs. EDNA JANISSE CARABALLO-GONZALEZ PA
1802 SW MILITARY DR
SAN ANTONIO, TX 78221-1431
Phone number: 210-924-2337
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Mailing Address
Mrs. EDNA JANISSE CARABALLO-GONZALEZ PA
2961 MOSSROCK
SAN ANTONIO, TX 78230-5119
Phone number: 210-731-4800
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