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1134542939
CARISSA TAYLOR
WACO, TX
NPI
1134542939
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 108539)
Enumeration Date
2014-01-29
Last Update Date
2014-01-29
Business Address
-- CARISSA TAYLOR
110 S 12TH ST
WACO, TX 76701-1810
Phone number: 254-752-3451
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Mailing Address
-- CARISSA TAYLOR
PO BOX 890
WACO, TX 76703-0890
Phone number: 254-752-3451
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