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1730548199
MARK PELAYO
SAN ANTONIO, TX
NPI
1730548199
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 339078)
Enumeration Date
2016-02-15
Last Update Date
2016-02-15
Business Address
-- MARK PELAYO
8234 SHOOTING QUAIL
SAN ANTONIO, TX 78250-4607
Phone number: 210-617-0564
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Mailing Address
-- MARK PELAYO
8234 SHOOTING QUAIL
SAN ANTONIO, TX 78250-4607
Phone number:
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