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1619482585
FEDENCISO GOMEZ
LUBBOCK, TX
NPI
1619482585
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 70893)
Enumeration Date
2017-12-13
Last Update Date
2017-12-13
Business Address
FEDENCISO GOMEZ
7329 19TH ST
LUBBOCK, TX 79407-4301
Phone number: 806-445-2094
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Mailing Address
FEDENCISO GOMEZ
517 E LOYOLA ST
LUBBOCK, TX 79403-1618
Phone number: 806-445-2094
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