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Individual

GRACIE BARSTAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2040 BABCOCK RD STE 304, SAN ANTONIO, TX 78229-4428
(210) 731-9570
Mailing address
1465 GREEN GATE, SAN ANTONIO, TX 78264-9792
(210) 753-0976

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
696030
TX

Other

Enumeration date
02/18/2019
Last updated
02/18/2019
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