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1750515185
REGINA LACKORE ASENJO
SAN ANTONIO, TX
NPI
1750515185
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA OT 6647)
Enumeration Date
2009-05-13
Last Update Date
2012-06-08
Business Address
Mrs. REGINA LACKORE ASENJO
85 NE LOOP 410 STE 610
SAN ANTONIO, TX 78216-5866
Phone number: 210-494-2343
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Mailing Address
Mrs. REGINA LACKORE ASENJO
85 NE LOOP 410 STE 610
SAN ANTONIO, TX 78216-5866
Phone number: 210-494-2343
Copy
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