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1649750647
AILEEN DOSDOS TANCHAN
WACO, TX
NPI
1649750647
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TX 111435)
Enumeration Date
2018-08-19
Last Update Date
2018-08-19
Business Address
AILEEN DOSDOS TANCHAN
2320 LAKE SHORE DR
WACO, TX 76708-1276
Phone number: 254-752-1075
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Mailing Address
AILEEN DOSDOS TANCHAN
2917 PUEBLO DR
WACO, TX 76712-8381
Phone number:
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