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1336520089
ROGER WISARD
AUSTIN, TX
NPI
1336520089
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 71852)
Enumeration Date
2015-06-17
Last Update Date
2015-07-14
Business Address
-- ROGER WISARD
1430 COLLIER ST
AUSTIN, TX 78704-2911
Phone number: 512-585-3383
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Mailing Address
-- ROGER WISARD
140 GERONIMO CV
KYLE, TX 78640-4622
Phone number: 512-585-3383
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