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1609189315
JACLYN PARK
AUSTIN, TX
NPI
1609189315
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 105397)
Enumeration Date
2010-07-22
Last Update Date
2010-07-22
Business Address
-- JACLYN PARK
4607 MANCHACA RD
AUSTIN, TX 78745-1607
Phone number: 512-916-1511
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Mailing Address
-- JACLYN PARK
4607 MANCHACA RD
AUSTIN, TX 78745-1607
Phone number: 512-916-1511
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