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Individual
JOHN CARLO MENDOZA
Active
Individual
JOHN CARLO MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1211918
TX
Other
Enumeration date
08/19/2018
Last updated
08/19/2018
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