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1881034395
SANDRA VILLAVICENCIO
EL PASO, TX
NPI
1881034395
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207QA0505X Family Medicine, Adult Medicine
(Licence: TX Q7502)
Enumeration Date
2013-06-28
Last Update Date
2022-09-20
Business Address
SANDRA VILLAVICENCIO M.D.
4774 LOMA DEL SUR DR
EL PASO, TX 79934-3597
Phone number: 915-533-7057
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Mailing Address
SANDRA VILLAVICENCIO M.D.
4875 MAXWELL AVE
EL PASO, TX 79904-1559
Phone number: 915-533-7057
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