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1982309977
LUIS ANGEL BANUELOS
CONROE, TX
NPI
1982309977
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-31
Last Update Date
2023-03-31
Business Address
LUIS ANGEL BANUELOS
925 CITY CENTRAL AVE
CONROE, TX 77304-2981
Phone number: 936-202-5202
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Mailing Address
LUIS ANGEL BANUELOS
114 RENNER ST
PALESTINE, TX 75801-6040
Phone number: 903-724-3151
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