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1629453006
DANIEL CANALES ESTRADA
PORTLAND, TX
NPI
1629453006
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP128249)
Enumeration Date
2015-07-27
Last Update Date
2015-07-27
Business Address
-- DANIEL CANALES ESTRADA MSN, NP-C
1627 WILDCAT DR
PORTLAND, TX 78374-2815
Phone number: 361-643-1552
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Mailing Address
-- DANIEL CANALES ESTRADA MSN, NP-C
7401 LAKE BUCHANAN CT
CORPUS CHRISTI, TX 78413-5162
Phone number: 361-558-5697
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