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Dr. Sedeno completed his residency at R.E. Thomason General Hospital, El Paso, Texas. In July 1980 he started a private practice office in Alief, Texas. He later joined Cigna Health Plans as Primary Care Physician (Part Time) and worked in this capacity until 1983. From 1985 to 1995, he served as the Principal of West Houston Family Practice Associates, P.A. and President of West Houston Family HealthCare Associates in 1996.