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Individual

DR. JEANNIE ALLYSON BAQUERO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1303 MCCULLOUGH AVE, SUITE 374, SAN ANTONIO, TX 78212-5615
(210) 223-5483
(210) 292-3828
Mailing address
2219 CARDIGAN HL, SAN ANTONIO, TX 78212-5615
(210) 545-7056

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
K5449
TX

Other

Enumeration date
01/24/2006
Last updated
12/23/2011
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