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Individual

ISAAC BENIGNO JAUREGUI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTA

Contact information

Practice address
1514 N ZARAGOZA RD STE B4, EL PASO, TX 79936-8041
(915) 257-5782
Mailing address
457 EMERALD BLUFF DR, HORIZON CITY, TX 79928-6470
(915) 497-1888

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214020
TX

Other

Enumeration date
03/07/2022
Last updated
03/07/2022
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