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1710445549
LUIS ANTONIO ORTIZ-THERIAULT
CYPRESS, TX
NPI
1710445549
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TX 76893)
Enumeration Date
2019-03-11
Last Update Date
2019-03-11
Business Address
LUIS ANTONIO ORTIZ-THERIAULT
11123 MCCRACKEN CIR STE C
CYPRESS, TX 77429-4461
Phone number: 281-653-6572
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Mailing Address
LUIS ANTONIO ORTIZ-THERIAULT
10925 BRIAR FOREST DR APT 1101
HOUSTON, TX 77042-2215
Phone number: 408-888-2479
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