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1083625867
BLUE HERON CENTER INCORPORATED
AUSTIN, TX
NPI
1083625867
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Entity Type
Organization
Authorized Contact
GAYL HUBATCH
President
512-266-2059
Organization Subpart ?
No
Primary Taxonomy
171100000X Acupuncturist
(Licence: TX AC00271)
Enumeration Date
2006-08-10
Last Update Date
2020-08-22
Business Address
BLUE HERON CENTER INCORPORATED
15204 GEBRON DR
AUSTIN, TX 78734-6306
Phone number: 512-266-2059
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Mailing Address
BLUE HERON CENTER INCORPORATED
PO BOX 340266
AUSTIN, TX 78734-0005
Phone number: 512-266-2059
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