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1962174300
IVY PUENTE
SAN ANTONIO, TX
NPI
1962174300
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: TX 1049954)
Enumeration Date
2021-10-04
Last Update Date
2021-10-04
Business Address
IVY PUENTE AG-ACNP-BC
111 DALLAS ST
SAN ANTONIO, TX 78205-1201
Phone number: 210-297-7000
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Mailing Address
IVY PUENTE AG-ACNP-BC
222 RAINBOW DR
SAN ANTONIO, TX 78209-4350
Phone number: 210-232-8655
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