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1073800884
S GINA BOLANOS
DALLAS, TX
NPI
1073800884
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TX 67176)
Enumeration Date
2011-06-30
Last Update Date
2016-02-05
Business Address
-- S GINA BOLANOS
8117 PRESTON RD STE 300
DALLAS, TX 75225-6332
Phone number: 940-206-3028
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Mailing Address
-- S GINA BOLANOS
3503 MISTY MEADOW DR
DALLAS, TX 75287-6027
Phone number:
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