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1508557133
DESIREE ALEXIS MEDINA
SAN ANGELO, TX
NPI
1508557133
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-05-16
Last Update Date
2023-05-16
Business Address
DESIREE ALEXIS MEDINA
1820 SUNSET DR
SAN ANGELO, TX 76904-6823
Phone number: 210-756-7343
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Mailing Address
DESIREE ALEXIS MEDINA
9314 RYDER DR
SAN ANTONIO, TX 78254-2000
Phone number:
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