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1700366804
EDIEL IVAN BARRERA
MCALLEN, TX
NPI
1700366804
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TX 116864)
Enumeration Date
2018-08-17
Last Update Date
2018-08-17
Business Address
EDIEL IVAN BARRERA OTR
2109 S K ST
MCALLEN, TX 78503-5689
Phone number: 956-686-9100
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Mailing Address
EDIEL IVAN BARRERA OTR
3912 LORI MORGAN DR
EDINBURG, TX 78541-4853
Phone number: 956-500-3841
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