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Individual

GUILLERMO OMAR ORTEGA SANDOVAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
SA-C

Contact information

Practice address
1500 BOB HOPE DR APT 501, EL PASO, TX 79936-1629
(915) 335-3514
Mailing address
1500 BOB HOPE DR APT 501, EL PASO, TX 79936-1629
(915) 335-3514

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
24-452
TX

Other

Enumeration date
09/14/2024
Last updated
09/14/2024
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