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1184132268
AYISSA SANDOVAL
SAN ANTONIO, TX
NPI
1184132268
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 13682)
Enumeration Date
2018-01-11
Last Update Date
2018-01-11
Business Address
AYISSA SANDOVAL
6800 PARK TEN BLVD STE 200S
SAN ANTONIO, TX 78213-4293
Phone number: 210-261-1000
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Mailing Address
AYISSA SANDOVAL
6800 PARK TEN BLVD STE 200S
SAN ANTONIO, TX 78213-4293
Phone number: 210-261-1000
Copy
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