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1639672561
NICOLE MARIE BRISENO
SAN ANTONIO, TX
NPI
1639672561
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Former Name
NICOLE MARIE GONZALES
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 314705)
Enumeration Date
2018-03-16
Last Update Date
2018-03-16
Business Address
NICOLE MARIE BRISENO LVN
7330 SAN PEDRO AVE
SAN ANTONIO, TX 78216-6235
Phone number: 210-737-8090
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Mailing Address
NICOLE MARIE BRISENO LVN
4395 FM 2504
POTEET, TX 78065
Phone number: 210-213-0797
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