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1780205914
ARIEL LATONIO FUNDANO
SAN ANTONIO, TX
NPI
1780205914
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2119667)
Enumeration Date
2020-04-28
Last Update Date
2020-04-28
Business Address
Mr. ARIEL LATONIO FUNDANO
7710 W INTERSTATE 10
SAN ANTONIO, TX 78230-4711
Phone number: 210-377-3355
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Mailing Address
Mr. ARIEL LATONIO FUNDANO
4706 EMDEN HOLW
SAN ANTONIO, TX 78247-5837
Phone number: 708-898-8378
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