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Individual

JERMAN ONTIVEROZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
9611 ACER AVE STE 118, EL PASO, TX 79925-6720
(915) 642-3936
Mailing address
3873 GWENDOLYN DR, EL PASO, TX 79938-9041
(915) 642-3936

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT125722
TX

Other

Enumeration date
04/03/2018
Last updated
04/03/2018
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