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1932323599
IRWIN ALIVO TANEDO
SAN ANTONIO, TX
NPI
1932323599
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2058013)
Enumeration Date
2007-04-12
Last Update Date
2007-07-08
Business Address
Mr. IRWIN ALIVO TANEDO
902 BANDERA RD
SAN ANTONIO, TX 78228-4923
Phone number: 210-431-4513
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Mailing Address
Mr. IRWIN ALIVO TANEDO
800 BASSE RD. APT#511
SAN ANTONIO, TX 78212
Phone number: 210-663-2029
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