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1730660234
MARY ELVA GONZALES
JBSA LACKLAND, TX
NPI
1730660234
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP138287)
Enumeration Date
2018-08-23
Last Update Date
2021-12-14
Business Address
MARY ELVA GONZALES NP-C
1100 WILFORD HALL LOOP
JBSA LACKLAND, TX 78236-5638
Phone number: 210-292-0168
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Mailing Address
MARY ELVA GONZALES NP-C
1100 WILFORD HALL LOOP
JBSA LACKLAND, TX 78236-5638
Phone number: 210-292-0168
Copy
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