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1831662873
JUSTIN VINE
SAN ANTONIO, TX
NPI
1831662873
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: TX AP138238)
Enumeration Date
2019-01-02
Last Update Date
2023-01-11
Business Address
Mr. JUSTIN VINE NP
2515 CASTROVILLE RD
SAN ANTONIO, TX 78237-3359
Phone number: 210-433-0366
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Mailing Address
Mr. JUSTIN VINE NP
2515 CASTROVILLE RD
SAN ANTONIO, TX 78237-3359
Phone number:
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