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1154623536
PURA LEAL
LYTLE, TX
NPI
1154623536
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
(Licence: TX 960202)
Enumeration Date
2010-11-17
Last Update Date
2010-11-17
Business Address
Mrs. PURA LEAL
19965 FM 3175
LYTLE, TX 78052-3481
Phone number: 210-357-0395
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Mailing Address
Mrs. PURA LEAL
PO BOX 725
LYTLE, TX 78052-0725
Phone number: 210-357-0395
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