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1861599946
DELIUS LAVERN ROACH
SAN ANTONIO, TX
NPI
1861599946
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA03478)
Enumeration Date
2006-09-20
Last Update Date
2010-01-29
Business Address
Mr. DELIUS LAVERN ROACH PA
5788 ECKHERT RD
SAN ANTONIO, TX 78240-3900
Phone number: 210-699-2127
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Mailing Address
Mr. DELIUS LAVERN ROACH PA
5788 ECKHERT RD
SAN ANTONIO, TX 78240-3900
Phone number: 210-699-2127
Copy
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