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1104058171
JAN BIENIOSEK
FORT WORTH, TX
NPI
1104058171
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: TX 14100)
Enumeration Date
2009-08-10
Last Update Date
2009-08-10
Business Address
JAN BIENIOSEK
1617 PARK PLACE AVE SUITE 110
FORT WORTH, TX 76110-1300
Phone number: 817-921-5020
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Mailing Address
JAN BIENIOSEK
4316 HAZY MEADOW LN
GRAPEVINE, TX 76051-5717
Phone number:
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