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1356069397
MISTY BANASIK
TOMBALL, TX
NPI
1356069397
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 113478)
Enumeration Date
2022-08-16
Last Update Date
2022-08-16
Business Address
MISTY BANASIK CCC-SLP
10255 MAHAFFEY RD
TOMBALL, TX 77375-1442
Phone number: 832-375-8279
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Mailing Address
MISTY BANASIK CCC-SLP
25119 HAVERFORD RD
SPRING, TX 77389-2942
Phone number: 281-513-4404
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