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1396524286
JENNIFER GORNTO LAKE
SAN ANTONIO, TX
NPI
1396524286
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 109643)
Enumeration Date
2023-09-28
Last Update Date
2023-09-28
Business Address
JENNIFER GORNTO LAKE MS, CCC-SLP
16400 BLANCO RD
SAN ANTONIO, TX 78232-1902
Phone number: 210-540-8288
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Mailing Address
JENNIFER GORNTO LAKE MS, CCC-SLP
16400 BLANCO RD
SAN ANTONIO, TX 78232-1902
Phone number: 210-540-8288
Copy
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