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1912492638
MARTHA I VEGAVALDEZ
EL PASO, TX
NPI
1912492638
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
311ZA0620X Custodial Care Facility Adult Care Home
(Licence: TX LBHM18-00003)
Enumeration Date
2018-06-25
Last Update Date
2018-06-25
Business Address
MARTHA I VEGAVALDEZ
10808 TOM KITE CT
EL PASO, TX 79935-3720
Phone number: 915-256-5076
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Mailing Address
MARTHA I VEGAVALDEZ
10808 TOM KITE CT
EL PASO, TX 79935-3720
Phone number: 915-256-5076
Copy
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