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1639413537
ERNEST MEDINA
TEMPLE, TX
NPI
1639413537
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 67807)
Enumeration Date
2012-11-15
Last Update Date
2013-06-19
Business Address
Mr. ERNEST MEDINA LPC
3010 SCOTT BLVD SUITE 103
TEMPLE, TX 76504-6800
Phone number: 254-773-0919
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Mailing Address
Mr. ERNEST MEDINA LPC
2105 TAHOE CT A
KILLEEN, TX 76543-5494
Phone number: 254-247-4706
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