Individual
ANTOINETTE MARIE VANDEPUTTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
401 GLADYS AVE, EL PASO, TX 79915-3805
(915) 779-6884
(915) 975-8045
Mailing address
401 GLADYS AVE, EL PASO, TX 79915-3805
(915) 779-6884
(915) 975-8045
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
00337AT
TX
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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