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1043425523
POE PROCHASKA
HUMBLE, TX
NPI
1043425523
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: TX 109694)
Enumeration Date
2007-05-10
Last Update Date
2009-08-01
Business Address
Mrs. POE PROCHASKA OTR
12430 CEDAR BREAKS CT
HUMBLE, TX 77346-4058
Phone number: 281-812-9816
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Mailing Address
Mrs. POE PROCHASKA OTR
12430 CEDAR BREAKS CT
HUMBLE, TX 77346-4058
Phone number:
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