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1366109761
SANDRA CUSTODIO
MESQUITE, TX
NPI
1366109761
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 113901)
Enumeration Date
2021-11-19
Last Update Date
2021-11-19
Business Address
SANDRA CUSTODIO CCC-SLP
3020 POTEET DR
MESQUITE, TX 75150-4762
Phone number: 972-882-7233
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Mailing Address
SANDRA CUSTODIO CCC-SLP
804 CAUBLE DR
FATE, TX 75087-6779
Phone number: 214-287-5184
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