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1457604753
KRISTA BROOM
LUBBOCK, TX
NPI
1457604753
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 37239)
Enumeration Date
2012-10-24
Last Update Date
2012-10-24
Business Address
-- KRISTA BROOM
6202 IOLA AVE SUITE 109
LUBBOCK, TX 79424-2728
Phone number: 800-340-4098
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Mailing Address
-- KRISTA BROOM
5316 TRAIL LAKE DR
FORT WORTH, TX 76133-1931
Phone number: 817-292-8787
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