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1235374703
LORI BOHUSLAV GREEN
PORTLAND, TX
NPI
1235374703
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 100895)
Enumeration Date
2008-12-11
Last Update Date
2008-12-11
Business Address
-- LORI BOHUSLAV GREEN MS CCC/SLP
401 NORTHSHORE BLVD
PORTLAND, TX 78374-3800
Phone number: 361-643-3777
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Mailing Address
-- LORI BOHUSLAV GREEN MS CCC/SLP
2222 SULLIVAN TRL
EASTON, PA 18040-7958
Phone number: 361-643-3777
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