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1962180661
JESUS MANUEL VILLARREAL
EL PASO, TX
NPI
1962180661
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Former Name
DANIEL BUSTILLOS
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
310400000X Assisted Living Facility
Enumeration Date
2023-07-11
Last Update Date
2023-07-11
Business Address
JESUS MANUEL VILLARREAL
10105 WOLVERINE DR
EL PASO, TX 79924-4311
Phone number: 915-329-9131
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Mailing Address
JESUS MANUEL VILLARREAL
401 PRIME DESERT DR
EL PASO, TX 79932-2146
Phone number: 915-329-9131
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