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1639577315
EDMUNDO CORCHADO
EL PASO, TX
NPI
1639577315
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
222Z00000X Orthotist
(Licence: TX 1263)
Additional Taxonomies
224P00000X Prosthetist
(Licence: TX 1263)
Enumeration Date
2014-12-12
Last Update Date
2014-12-12
Business Address
-- EDMUNDO CORCHADO LPOA
1302 N STANTON ST
EL PASO, TX 79902-4122
Phone number: 915-532-4444
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Mailing Address
-- EDMUNDO CORCHADO LPOA
6219 LOS ALTOS DR
EL PASO, TX 79912-2509
Phone number: 915-204-0448
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