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Individual

MR. RALPH STALEY JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
FIRST ASSISTANT

Contact information

Practice address
1234 SONESTA LN, SAN ANTONIO, TX 78260-2462
(210) 254-7993
(210) 499-4405
Mailing address
1234 SONESTA LN, SAN ANTONIO, TX 78260-2462
(210) 254-7993
(210) 499-4405

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary

Other

Enumeration date
05/04/2009
Last updated
03/30/2023
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