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1770168940
LUIS SANTIAGO TERRAZAS
EL PASO, TX
NPI
1770168940
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2021-03-10
Last Update Date
2021-03-10
Business Address
LUIS SANTIAGO TERRAZAS
14303 SMOKEY POINT DR
EL PASO, TX 79938-5482
Phone number: 915-790-8518
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Mailing Address
LUIS SANTIAGO TERRAZAS
14303 SMOKEY POINT DR
EL PASO, TX 79938-5482
Phone number: 915-790-8518
Copy
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