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Individual

LOUIS JAMES MAGANA JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5455 KNICKERBOCKER RD, SAN ANGELO, TX 76904-7711
(325) 944-1600
Mailing address
1425 GREGORY DR, SAN ANGELO, TX 76905-4213
(719) 994-9872

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
211690
TX

Other

Enumeration date
08/16/2018
Last updated
08/16/2018
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