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1811764764
VIVIAN MACIAS
TEMPLE, TX
NPI
1811764764
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2023-12-11
Last Update Date
2023-12-12
Business Address
VIVIAN MACIAS
110 N 27TH ST STE B
TEMPLE, TX 76504-2420
Phone number: 254-295-0250
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Mailing Address
VIVIAN MACIAS
2302 WASABI RD
TEMPLE, TX 76501-7802
Phone number: 832-800-6032
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