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1821109273
RAFAEL ANTONIO FONSECA
GALVESTON, TX
NPI
1821109273
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: TX M7187)
Enumeration Date
2006-08-31
Last Update Date
2011-08-29
Business Address
-- RAFAEL ANTONIO FONSECA MD
301 UNIVERSITY BLVD RT 0526
GALVESTON, TX 77555-0526
Phone number: 409-772-2815
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Mailing Address
-- RAFAEL ANTONIO FONSECA MD
301 UNIVERSITY BLVD RT 0526
GALVESTON, TX 77555-0526
Phone number: 409-772-2815
Copy
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