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1568004752
PAUL FREDERICK
EL PASO, TX
NPI
1568004752
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2355S0801X Specialist/Technologist, Speech-Language Assistant
(Licence: TX 36004)
Enumeration Date
2019-10-09
Last Update Date
2019-10-09
Business Address
PAUL FREDERICK
6601 MONTANA AVE STE GANDH
EL PASO, TX 79925-2155
Phone number: 915-838-7604
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Mailing Address
PAUL FREDERICK
6601 MONTANA AVE STE GANDH
EL PASO, TX 79925-2155
Phone number: 915-838-7604
Copy
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