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1013052000
LISA A TATE
AUSTIN, TX
NPI
1013052000
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 18507)
Enumeration Date
2007-02-20
Last Update Date
2008-05-01
Business Address
-- LISA A TATE
1611 HEADWAY CIR BLDG 2
AUSTIN, TX 78754-5165
Phone number: 512-478-2581
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Mailing Address
-- LISA A TATE
1611 HEADWAY CIR BLDG 2
AUSTIN, TX 78754-5165
Phone number: 512-478-2581
Copy
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