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1588028724
MARIELA ONTIVEROS
EDINBURG, TX
NPI
1588028724
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA10494)
Enumeration Date
2016-04-13
Last Update Date
2016-04-26
Business Address
-- MARIELA ONTIVEROS
4709 S JACKSON RD
EDINBURG, TX 78539-8381
Phone number: 956-682-4500
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Mailing Address
-- MARIELA ONTIVEROS
1016 LEE ST
MISSION, TX 78572-3430
Phone number: 956-310-2298
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