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1689166159
STACEY GILLIS
PEARLAND, TX
NPI
1689166159
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 113900)
Enumeration Date
2018-05-31
Last Update Date
2019-11-14
Business Address
STACEY GILLIS
2011 BROADWAY ST STE 130
PEARLAND, TX 77581-5945
Phone number: 281-997-8509
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Mailing Address
STACEY GILLIS
1640 E T C JESTER BLVD APT 916
HOUSTON, TX 77008-2576
Phone number: 979-578-2301
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