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Individual

ANGELA C CARMOUCHE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
18945 FM 2252 STE 115, GARDEN RIDGE, TX 78266-2797
(210) 651-0029
Mailing address
9361 AUTUMN BRANCHES, SAN ANTONIO, TX 78254-5812
(210) 474-0456

Taxonomy

Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
CA

Other

Enumeration date
06/01/2010
Last updated
06/04/2010
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