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1740840057
GINA PRADO
WACO, TX
NPI
1740840057
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TX BP10067505)
Enumeration Date
2019-06-18
Last Update Date
2020-07-28
Business Address
GINA PRADO
1600 PROVIDENCE DR
WACO, TX 76707-2261
Phone number: 254-313-4440
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Mailing Address
GINA PRADO
1600 PROVIDENCE DR
WACO, TX 76707-2261
Phone number: 254-313-4200
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