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1396129003
THERESA MATA-PISTOKACHE
WESLACO, TX
NPI
1396129003
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 106747)
Enumeration Date
2015-07-13
Last Update Date
2015-07-13
Business Address
-- THERESA MATA-PISTOKACHE Ph.D.
709 ANGELITA DR
WESLACO, TX 78599-5281
Phone number: 956-854-4325
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Mailing Address
-- THERESA MATA-PISTOKACHE Ph.D.
305 NE LOOP 820 BUSINESS TOWER 1, SUITE 200
HURST, TX 76053-7209
Phone number: 817-292-8787
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