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1598307753
JORDAN V ANTONITIS
SAN ANTONIO, TX
NPI
1598307753
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 14390)
Enumeration Date
2019-10-09
Last Update Date
2019-10-09
Business Address
JORDAN V ANTONITIS
6800 PARK TEN BLVD STE 200S
SAN ANTONIO, TX 78213-4293
Phone number: 210-261-1000
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Mailing Address
JORDAN V ANTONITIS
6800 PARK TEN BLVD STE 200S
SAN ANTONIO, TX 78213-4293
Phone number: 210-261-1000
Copy
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