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1861721557
TARA WATAMALEO
SAN ANTONIO, TX
NPI
1861721557
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date
2009-12-09
Last Update Date
2009-12-09
Business Address
Mrs. TARA WATAMALEO IDMT
626 CHAMOMILE
SAN ANTONIO, TX 78245-2413
Phone number: 210-912-8715
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Mailing Address
Mrs. TARA WATAMALEO IDMT
626 CHAMOMILE
SAN ANTONIO, TX 78245-2413
Phone number:
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