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1972729507
LUCIO I MARES
EAGLE PASS, TX
NPI
1972729507
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX pa00646)
Enumeration Date
2007-04-18
Last Update Date
2007-07-08
Business Address
Mr. LUCIO I MARES pa
144 FALCON BLVD APT 2
EAGLE PASS, TX 78852-5861
Phone number: 830-513-1123
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Mailing Address
Mr. LUCIO I MARES pa
144 FALCON BLVD APT 2
EAGLE PASS, TX 78852-5861
Phone number: 830-513-1123
Copy
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