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1568131068
CLARISSA M DE LA FUENTE
SAN ANTONIO, TX
NPI
1568131068
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2355S0801X Specialist/Technologist, Speech-Language Assistant
(Licence: TX 41343)
Enumeration Date
2021-09-08
Last Update Date
2021-09-08
Business Address
CLARISSA M DE LA FUENTE STA
13333 BLANCO RD STE 310
SAN ANTONIO, TX 78216-7756
Phone number: 121-047-9587
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Mailing Address
CLARISSA M DE LA FUENTE STA
13333 BLANCO RD STE 310
SAN ANTONIO, TX 78216-7756
Phone number: 121-047-9587
Copy
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