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1811366545
STEVEN MICHAEL PRUDENCIO
ODESSA, TX
NPI
1811366545
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP128729)
Enumeration Date
2015-09-23
Last Update Date
2017-02-08
Business Address
-- STEVEN MICHAEL PRUDENCIO FNP
315 GOLDER AVE SUITE C
ODESSA, TX 79761-5043
Phone number: 432-640-1963
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Mailing Address
-- STEVEN MICHAEL PRUDENCIO FNP
PO BOX 2129
ODESSA, TX 79760-2129
Phone number: 432-640-1963
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