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1336196641
JENNIFER A BAZAN
AUSTIN, TX
NPI
1336196641
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TX 19844)
Enumeration Date
2006-05-30
Last Update Date
2011-12-01
Business Address
-- JENNIFER A BAZAN
8400 N MOPAC EXPY SUITE 302
AUSTIN, TX 78759-8328
Phone number: 512-213-2388
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Mailing Address
-- JENNIFER A BAZAN
5104 MARTIN AVE
AUSTIN, TX 78751-2119
Phone number: 469-323-7962
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