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1720658867
RENE BAZAN
EDINBURG, TX
NPI
1720658867
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
Additional Taxonomies
235Z00000X Speech-Language Pathologist,
Enumeration Date
2021-06-30
Last Update Date
2022-01-30
Business Address
RENE BAZAN
13500 E STATE HIGHWAY 107
EDINBURG, TX 78542-1876
Phone number: 956-377-5488
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Mailing Address
RENE BAZAN
2612 FLIPPER DR
EDINBURG, TX 78541-5359
Phone number: 956-530-8180
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