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1689930109
KRISTA WALL
FORT WORTH, TX
NPI
1689930109
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 18544)
Enumeration Date
2012-04-10
Last Update Date
2012-11-16
Business Address
-- KRISTA WALL SLP
3840 HULEN ST HTN, CLIENT ACCOUNTING
FORT WORTH, TX 76107-7277
Phone number: 817-569-4300
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Mailing Address
-- KRISTA WALL SLP
PO BOX 2603 HTN, CLIENT ACCOUNTING
FORT WORTH, TX 76113-2603
Phone number: 817-569-4300
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