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1275054207
KEVIN ALBERTO IRAHETA
FORT WORTH, TX
NPI
1275054207
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2355S0801X Specialist/Technologist, Speech-Language Assistant
(Licence: TX 40245)
Enumeration Date
2017-06-29
Last Update Date
2017-06-29
Business Address
KEVIN ALBERTO IRAHETA
1000 SAINT LOUIS AVE
FORT WORTH, TX 76104-3366
Phone number: 817-821-5020
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Mailing Address
KEVIN ALBERTO IRAHETA
305 NE LOOP 280 BUSINESS TOWER 1, SUITE 200
HURST, TX 76053
Phone number: 817-292-8787
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