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Individual

MRS. JESUS JAVIER VELARDE SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1045 CLINT SAN ELIZARIO RD, SAN ELIZARIO, TX 79849-7501
(915) 873-1679
(915) 851-2614
Mailing address
1045 CLINT SAN ELIZARIO RD, PO BOX 670, SAN ELIZARIO, TX 79849-7501
(915) 873-1679
(915) 851-2614

Taxonomy

Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
10753074
TX

Other

Enumeration date
03/06/2012
Last updated
03/06/2012
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