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1003309329
LAMA M GHAZAL
IRVING, TX
NPI
1003309329
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: TX 18-58037)
Enumeration Date
2018-06-11
Last Update Date
2018-06-11
Business Address
LAMA M GHAZAL RBT #18-58037
400 E ROYAL LN BLDG 3
IRVING, TX 75039-3540
Phone number: 855-832-6727
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Mailing Address
LAMA M GHAZAL RBT #18-58037
6504 MITRA DR
AUSTIN, TX 78739-1900
Phone number: 512-461-9043
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