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1780631119
EDUARDO GUTIERREZ
SAN MARCOS, TX
NPI
1780631119
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA02628)
Enumeration Date
2006-05-30
Last Update Date
2008-03-26
Business Address
-- EDUARDO GUTIERREZ PA
1301 WONDER WORLD DR
SAN MARCOS, TX 78666-7533
Phone number: 512-753-3796
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Mailing Address
-- EDUARDO GUTIERREZ PA
310 LONG MDW
SPRING BRANCH, TX 78070-5929
Phone number: 210-884-3308
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