Provider Information for 1396328027
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DEBBIE LYNN GONZALEZ
Sex: Female
NPI: 1396328027
Last Updated: 2022-09-20
Certification Date: 2022-09-20
Certification Date: 2022-09-20
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1396328027 | ||||||||
| Enumeration Date | 2021-04-30 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | PO BOX 865 UVALDE, TX 78802-0865 United States Phone: 830-444-1557 | Fax: | ||||||||
| Primary Practice Address | 3170 S US HWY 83 UVALDE, TX 78801 United States Phone: 830-444-1557 | Fax: | ||||||||
| Secondary Practice Address(es) | 1 TANGLEWOOD ST | ||||||||
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