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1427479245
AMALIA DE JESUS FONTALVO
SPRING, TX
NPI
1427479245
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 108360)
Enumeration Date
2013-12-20
Last Update Date
2022-10-17
Business Address
AMALIA DE JESUS FONTALVO M.S.
5015 LOUETTA RD #732
SPRING, TX 77379
Phone number: 908-494-8564
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Mailing Address
AMALIA DE JESUS FONTALVO M.S.
5015 LOUETTA RD #732
SPRING, TX 77379-8163
Phone number: 908-494-8564
Copy
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