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1568156453
KIAE WAITE-GOLLAB
SAN ANTONIO, TX
NPI
1568156453
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225A00000X Music Therapist
(Licence: TX 13280)
Enumeration Date
2023-06-05
Last Update Date
2023-06-05
Business Address
KIAE WAITE-GOLLAB MT-BC, NMT
8310 EWING HALSELL DR
SAN ANTONIO, TX 78229-3715
Phone number: 210-616-0885
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Mailing Address
KIAE WAITE-GOLLAB MT-BC, NMT
6418 ECKHERT RD APT 7205
SAN ANTONIO, TX 78240-3153
Phone number: 361-816-4131
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