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1861725228
VICENTE JACQUEZ
EL PASO, TX
NPI
1861725228
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 1105)
Enumeration Date
2009-09-16
Last Update Date
2011-09-08
Business Address
-- VICENTE JACQUEZ NP-C
6065 MONTANA AVE SUITE A-2
EL PASO, TX 79925-1835
Phone number: 915-771-7200
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Mailing Address
-- VICENTE JACQUEZ NP-C
240 LORRAINE LN
CHAPARRAL, NM 88081-7435
Phone number: 915-497-4645
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