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1952410821
ROBERT CHARLES FOUNTILA
WESLACO, TX
NPI
1952410821
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: TX L6896)
Enumeration Date
2006-08-30
Last Update Date
2007-07-08
Business Address
-- ROBERT CHARLES FOUNTILA D.O.
1401 E 8TH ST
WESLACO, TX 78596-6640
Phone number: 956-581-0303
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Mailing Address
-- ROBERT CHARLES FOUNTILA D.O.
2121 E GRIFFIN PKWY SUITE 12
MISSION, TX 78572-3241
Phone number: 956-581-0303
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