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1932585965
BLACK DIAMOND MED SPA
SAN ANTONIO, TX
NPI
1932585965
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Entity Type
Organization
Authorized Contact
JONAS CRAFTS
Manager
210-403-2552
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2015-07-31
Last Update Date
2015-07-31
Business Address
BLACK DIAMOND MED SPA
18730 STONE OAK PKWY STE 106
SAN ANTONIO, TX 78258-4140
Phone number: 210-403-2552
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Mailing Address
BLACK DIAMOND MED SPA
18730 STONE OAK PKWY STE 106
SAN ANTONIO, TX 78258-4140
Phone number: 210-403-2552
Copy
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