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1962057059
GONZALO FERNANDEZ
TYLER, TX
NPI
1962057059
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2149763)
Enumeration Date
2019-08-06
Last Update Date
2019-08-06
Business Address
GONZALO FERNANDEZ
753 S BECKHAM AVE
TYLER, TX 75701
Phone number: 903-705-4232
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Mailing Address
GONZALO FERNANDEZ
217 DUBLIN AVE
TYLER, TX 75703-5311
Phone number:
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