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Individual
VINCENT PAUL SAN LUIS OMICTIN
Active
Individual
VINCENT PAUL SAN LUIS OMICTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1356635
TX
225100000X
Physical Therapist
26939
CA
235Z00000X
Speech-Language Pathologist
119077
TX
235Z00000X
Speech-Language Pathologist
19350
CA
Other
Enumeration date
03/18/2015
Last updated
06/17/2024
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