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1679865265
MAURICIO ANTONIO CENTENO
SAN ANTONIO, TX
NPI
1679865265
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: TX SA00481)
Enumeration Date
2011-05-14
Last Update Date
2020-02-01
Business Address
MAURICIO ANTONIO CENTENO LSA
19026 STONE OAK PKWY STE 210B
SAN ANTONIO, TX 78258-3229
Phone number: 210-606-8213
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Mailing Address
MAURICIO ANTONIO CENTENO LSA
19026 STONE OAK PKWY STE 210B
SAN ANTONIO, TX 78258-3229
Phone number: 210-606-8213
Copy
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