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Individual

RONALD GUILLERMO BANUELOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LAC

Contact information

Practice address
2525 WALLINGWOOD DR, BLDG 7C SUITE 705, AUSTIN, TX 78746-6929
(512) 619-2224
Mailing address
2525 WALLINGWOOD DR, BLDG 7C SUITE 705, AUSTIN, TX 78746-6929
(512) 619-2224

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
TX

Other

Enumeration date
05/13/2008
Last updated
09/16/2015
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