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1275838153
ESTEBAN E ESCANUELA
SAN ANGELO, TX
NPI
1275838153
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
(Licence: TX 083226)
Enumeration Date
2011-01-24
Last Update Date
2011-01-24
Business Address
Mr. ESTEBAN E ESCANUELA EIS-FQP
612 S IRENE ST
SAN ANGELO, TX 76903-6629
Phone number: 325-658-6571
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Mailing Address
Mr. ESTEBAN E ESCANUELA EIS-FQP
PO BOX 5199
SAN ANGELO, TX 76902-5199
Phone number:
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