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1407096530
THERESA M. PRUDENCIO
EL PASO, TX
NPI
1407096530
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TX 108582)
Enumeration Date
2009-03-02
Last Update Date
2009-03-02
Business Address
Mrs. THERESA M. PRUDENCIO OTR
1831 MURCHISON DR STE C
EL PASO, TX 79902-2917
Phone number: 915-351-4441
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Mailing Address
Mrs. THERESA M. PRUDENCIO OTR
11529 CLEAR LAKE WAY
EL PASO, TX 79936-4336
Phone number: 915-857-5921
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