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Individual

JUSTIN DE LEON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2110 LOMAS DEL SUR STE 114, LAREDO, TX 78046-5751
(956) 712-9111
Mailing address
3109 IRIS ST, LAREDO, TX 78045-6581
(956) 794-0621

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2149534
TX

Other

Enumeration date
01/11/2024
Last updated
01/11/2024
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