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1194207977
EMMANUEL LUNA
FORT WORTH, TX
NPI
1194207977
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 212771)
Enumeration Date
2018-08-29
Last Update Date
2018-08-29
Business Address
EMMANUEL LUNA
701 SAINT LOUIS AVE
FORT WORTH, TX 76104
Phone number: 817-336-9962
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Mailing Address
EMMANUEL LUNA
701 SAINT LOUIS AVE
FORT WORTH, TX 76104-3324
Phone number: 817-332-9962
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