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1962937664
JUAN CERVANTES
SAN ANTONIO, TX
NPI
1962937664
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 11859)
Enumeration Date
2017-05-01
Last Update Date
2017-05-01
Business Address
-- JUAN CERVANTES
3615 CULEBRA RD
SAN ANTONIO, TX 78228-5914
Phone number: 210-314-6473
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Mailing Address
-- JUAN CERVANTES
3615 CULEBRA RD
SAN ANTONIO, TX 78228-5914
Phone number: 210-314-6473
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