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1023883287
SAN JUANITA PATE
SAN ANTONIO, TX
NPI
1023883287
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 84843)
Enumeration Date
2023-11-17
Last Update Date
2023-11-17
Business Address
SAN JUANITA PATE
11919 CEDAR GREY
SAN ANTONIO, TX 78249-2453
Phone number: 210-336-0279
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Mailing Address
SAN JUANITA PATE
11919 CEDAR GREY
SAN ANTONIO, TX 78249-2453
Phone number: 210-336-0279
Copy
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