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1740787639
EDER VALENZUELA
FORT WORTH, TX
NPI
1740787639
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 331388)
Enumeration Date
2018-04-09
Last Update Date
2018-04-09
Business Address
EDER VALENZUELA
8537 SUSSEX CT
FORT WORTH, TX 76108-2729
Phone number: 817-600-2752
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Mailing Address
EDER VALENZUELA
8537 SUSSEX CT
FORT WORTH, TX 76108-2729
Phone number: 817-600-2752
Copy
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