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EDGAR DE LA FUENTE, LICENSED PROSTHETIST
LICENSED PROSTHETIST
Prosthetic/Orthotic Supplier
NPI: 1750323713Individual
Specialties, Licenses & Credentials
Prosthetic/Orthotic SupplierPrimary
Prosthetic/Orthotic Supplier
Code: 335E00000X
233(TX)
Contact & Hours
- Address
- 719 N. SECOND STREET
LONGVIEW, TX 75601 - Phone
- (903) 553-1040
Quick Facts
- NPI
- 1750323713
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
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