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1518700285
BRONSON WALLACE BRYLAK
AUSTIN, TX
NPI
1518700285
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 119497)
Enumeration Date
2024-06-18
Last Update Date
2024-06-18
Business Address
BRONSON WALLACE BRYLAK
3915 BURNET RD #103
AUSTIN, TX 78728
Phone number: 512-710-6516
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Mailing Address
BRONSON WALLACE BRYLAK
129 MAPLEWOOD N
KYLE, TX 78640-5276
Phone number: 210-827-2577
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