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1710005392
JORGE ALFONSO CORREA
CYPRESS, TX
NPI
1710005392
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: TX SA00168)
Enumeration Date
2007-03-26
Last Update Date
2016-11-25
Business Address
-- JORGE ALFONSO CORREA LSA
8022 OXBOW MANOR LN
CYPRESS, TX 77433-0162
Phone number: 713-614-4465
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Mailing Address
-- JORGE ALFONSO CORREA LSA
8022 OXBOW MANOR LN
CYPRESS, TX 77433-0162
Phone number: 713-614-4465
Copy
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