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1912125303
EDGAR PERALTA
DALLAS, TX
NPI
1912125303
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111NR0400X
(Licence: TX 10173)
Enumeration Date
2007-04-23
Last Update Date
2007-07-08
Business Address
-- EDGAR PERALTA DC
407 CENTRE ST
DALLAS, TX 75208-6527
Phone number: 214-942-8833
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Mailing Address
-- EDGAR PERALTA DC
407 CENTRE ST
DALLAS, TX 75208-6527
Phone number: 214-942-8833
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