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1205170594
NICOLE LOREN STRACK
SAN ANTONIO, TX
NPI
1205170594
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 37315)
Enumeration Date
2012-11-27
Last Update Date
2012-11-27
Business Address
-- NICOLE LOREN STRACK
98 BRIGGS ST SUITE 990
SAN ANTONIO, TX 78224-1286
Phone number: 210-226-9536
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Mailing Address
-- NICOLE LOREN STRACK
5316 TRAIL LAKE DR
FORT WORTH, TX 76133-1931
Phone number: 817-292-8787
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