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Individual

GLORIA LORRAINE BOCANEGRA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2322 MORGAN AVE, CORPUS CHRISTI, TX 78405-1947
(361) 882-4242
Mailing address
6026 MCALPIN DR, CORPUS CHRISTI, TX 78413-3339
(361) 658-6151

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2122042
TX

Other

Enumeration date
09/13/2018
Last updated
09/13/2018
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