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1588143325
EMILY LAUREN BANSUELO
TOMBALL, TX
NPI
1588143325
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 211848)
Enumeration Date
2018-08-13
Last Update Date
2018-08-13
Business Address
EMILY LAUREN BANSUELO
27840 JOHNSON RD
TOMBALL, TX 77375-6455
Phone number: 832-843-7700
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Mailing Address
EMILY LAUREN BANSUELO
27840 JOHNSON RD
TOMBALL, TX 77375-6455
Phone number:
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