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1487896361
SOFIA BASURTO
AUSTIN, TX
NPI
1487896361
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 109400)
Enumeration Date
2009-03-24
Last Update Date
2016-03-12
Business Address
-- SOFIA BASURTO SLP-CCC
2223 WATERLOO CITY LN #109
AUSTIN, TX 78741-1107
Phone number: 512-993-6808
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Mailing Address
-- SOFIA BASURTO SLP-CCC
2223 WATERLOO CITY LN
AUSTIN, TX 78741-1107
Phone number:
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