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1396250601
BLAIR FRESHWATER
DALLAS, TX
NPI
1396250601
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 103355)
Enumeration Date
2017-12-08
Last Update Date
2017-12-08
Business Address
BLAIR FRESHWATER
2522 FORT WORTH AVE
DALLAS, TX 75211-1703
Phone number: 214-736-1632
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Mailing Address
BLAIR FRESHWATER
17231 MARIANNE CIR
DALLAS, TX 75252-4015
Phone number:
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