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1932317500
BETHEL VILLAVICENCIO
DALLAS, TX
NPI
1932317500
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: TX 4704097296)
Enumeration Date
2007-05-18
Last Update Date
2007-07-08
Business Address
-- BETHEL VILLAVICENCIO
4500 S LANCASTER RD
DALLAS, TX 75216-7167
Phone number: 214-857-1625
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Mailing Address
-- BETHEL VILLAVICENCIO
3508 GAGEWAY CT
MESQUITE, TX 75150-4362
Phone number: 972-279-1352
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