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1376861179
LISA LONGORIA
SAN ANTONIO, TX
NPI
1376861179
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: TX 18804)
Enumeration Date
2010-05-04
Last Update Date
2010-05-04
Business Address
LISA LONGORIA MA, CCC/SLP
16714 HUNTING VLY
SAN ANTONIO, TX 78247-1056
Phone number: 210-626-8993
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Mailing Address
LISA LONGORIA MA, CCC/SLP
16714 HUNTING VLY
SAN ANTONIO, TX 78247-1056
Phone number: 210-626-8993
Copy
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