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1598400566
JACOB CAVAZOS
SAN ANTONIO, TX
NPI
1598400566
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: TX 1043089)
Enumeration Date
2022-05-03
Last Update Date
2022-05-03
Business Address
JACOB CAVAZOS
7355 BARLITE BLVD
SAN ANTONIO, TX 78224-1342
Phone number: 210-222-0333
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Mailing Address
JACOB CAVAZOS
7722 PARKWOOD WAY
SAN ANTONIO, TX 78249-4724
Phone number:
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