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1720236896
JOHN CARLO SHUN BASE
GEORGETOWN, TX
NPI
1720236896
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TX 117013)
Enumeration Date
2008-09-03
Last Update Date
2017-02-13
Business Address
-- JOHN CARLO SHUN BASE OTR
359 VILLAGE COMMONS BLVD
GEORGETOWN, TX 78633-4448
Phone number: 512-277-6405
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Mailing Address
-- JOHN CARLO SHUN BASE OTR
150 KLATTENHOFF LN APT 2104
HUTTO, TX 78634-4601
Phone number: 512-987-8718
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