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Individual

GUADALUPE GONZALEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
615A GALE ST, LAREDO, TX 78041-5955
(956) 712-9988
Mailing address
615A GALE ST, LAREDO, TX 78041-5955
(956) 712-9988

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
40477
TX

Other

Enumeration date
08/08/2018
Last updated
08/08/2018
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