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1770756660
FOUR SEASONS BREAST FOUNDATION
SAN ANTONIO, TX
NPI
1770756660
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Entity Type
Organization
Authorized Contact
DIANE M ICENOGLE
President
210-918-8510
Organization Subpart ?
No
Primary Taxonomy
261QR0206X Clinic/Center, Radiology, Mammography
Enumeration Date
2008-04-11
Last Update Date
2008-04-11
Business Address
FOUR SEASONS BREAST FOUNDATION
4400 S PIEDRAS DR STE 200
SAN ANTONIO, TX 78228-1223
Phone number: 210-918-8510
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Mailing Address
FOUR SEASONS BREAST FOUNDATION
PO BOX 100840
SAN ANTONIO, TX 78201-8840
Phone number: 210-918-8510
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