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Individual

CARLOS SAUCEDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OT

Contact information

Practice address
615 E SCHUSTER AVE STE 8, EL PASO, TX 79902-4360
(915) 533-1799
(915) 267-3553
Mailing address
615 E SCHUSTER AVE STE 8, EL PASO, TX 79902-4360
(915) 533-1799
(915) 267-3553

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
114132
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
47-5020203
TX
Enumeration date
10/16/2017
Last updated
03/17/2018
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