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1649802356
JACQUELYNE SHAW
AUSTIN, TX
NPI
1649802356
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 109859)
Enumeration Date
2020-02-11
Last Update Date
2020-02-11
Business Address
JACQUELYNE SHAW
3721 EXECUTIVE CENTER DR STE 201
AUSTIN, TX 78731-1639
Phone number: 512-527-9608
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Mailing Address
JACQUELYNE SHAW
3721 EXECUTIVE CENTER DR STE 201
AUSTIN, TX 78731-1639
Phone number:
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