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1629351150
SERGIO O GILES
FORT WORTH, TX
NPI
1629351150
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence: TX SA00564)
Enumeration Date
2011-09-21
Last Update Date
2019-04-30
Business Address
SERGIO O GILES LSA, CSA, CSFA
8428 WHIPPOORWILL DR
FORT WORTH, TX 76123
Phone number: 817-713-8905
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Mailing Address
SERGIO O GILES LSA, CSA, CSFA
8428 WHIPPOORWILL DR
FORT WORTH, TX 76123-1996
Phone number: 817-713-8905
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