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1588941488
JEROLD HORACE WILEY
EL PASO, TX
NPI
1588941488
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: NM X-07564)
Enumeration Date
2011-11-07
Last Update Date
2011-11-07
Business Address
Mr. JEROLD HORACE WILEY
5001 N PIEDRAS ST
EL PASO, TX 79930-4210
Phone number: 915-564-7963
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Mailing Address
Mr. JEROLD HORACE WILEY
5001 N PIEDRAS ST
EL PASO, TX 79930-4210
Phone number: 915-564-7963
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