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1003168477
JESUS HUERTA
SAN ANTONIO, TX
NPI
1003168477
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 31255)
Enumeration Date
2012-10-10
Last Update Date
2012-10-10
Business Address
-- JESUS HUERTA
98 BRIGGS ST SUITE 990
SAN ANTONIO, TX 78224-1286
Phone number: 210-226-9536
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Mailing Address
-- JESUS HUERTA
5316 TRAIL LAKE DR
FORT WORTH, TX 76133-1931
Phone number: 817-292-8787
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