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1669150652
IVAN SOREL USCANGA
FORT CAVAZOS, TX
NPI
1669150652
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WC0400X Registered Nurse, Case Management
(Licence: TX 812670)
Enumeration Date
2023-07-10
Last Update Date
2023-07-10
Business Address
Mr. IVAN SOREL USCANGA RN
36048 58TH STREET
FORT CAVAZOS, TX 76544
Phone number: 254-287-1140
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Mailing Address
Mr. IVAN SOREL USCANGA RN
36065 SANTA FE AVE
FORT CAVAZOS, TX 76544-5060
Phone number: 254-287-1140
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