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1114104213
NIMA JEAN MOORE
AUSTIN, TX
NPI
1114104213
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 18213)
Enumeration Date
2008-01-31
Last Update Date
2008-01-31
Business Address
Ms. NIMA JEAN MOORE MS CCCSLP
2504 A WHITIS CMA 2200 A1100
AUSTIN, TX 78712
Phone number: 512-471-3841
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Mailing Address
Ms. NIMA JEAN MOORE MS CCCSLP
1 UNIVERSITY STATION A1100 CMA 2200
AUSTIN, TX 78712
Phone number: 512-471-3841
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