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1295065480
SUOMI LOPEZ GANDARA
FORT WORTH, TX
NPI
1295065480
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2355A2700X Specialist/Technologist, Audiology Assistant
(Licence: TX 35232)
Enumeration Date
2010-01-11
Last Update Date
2010-01-11
Business Address
-- SUOMI LOPEZ GANDARA SLP-A
5316 TRAIL LAKE DR
FORT WORTH, TX 76133-1931
Phone number: 817-292-8787
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Mailing Address
-- SUOMI LOPEZ GANDARA SLP-A
745 VIA MIRAMONTE
MESQUITE, TX 75150-3055
Phone number: 972-686-3312
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