EDGAR DE LA FUENTE

LONGVIEW, TX
NPI1750323713
Other NameDBA VRAI PROSTHETIC CARE
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy335E00000X Prosthetic/Orthotic Supplier
(Licence: TX  233)
Enumeration Date2006-06-12
Last Update Date2015-03-18
Business Address
Mr. EDGAR DE LA FUENTE Licensed Prosthetist
719 N. SECOND STREET
LONGVIEW, TX 75601-5316
Phone number: 903-553-1040
Mailing Address
Mr. EDGAR DE LA FUENTE Licensed Prosthetist
719 N. SECOND STREET
LONGVIEW, TX 75601-5316
Phone number: 903-553-1040
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