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Individual

MR. MARIO ERNESTO VASQUEZ JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
9608 WOODROW WILSON DR, MCKINNEY, TX 75072-8430
(858) 837-3604
Mailing address
9608 WOODROW WILSON DR, MCKINNEY, TX 75072-8430
(858) 837-3604

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT135676
TX

Other

Enumeration date
01/10/2022
Last updated
01/10/2022
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