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1811031578
LETICIA A BASURTO
EL PASO, TX
NPI
1811031578
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
311ZA0620X Custodial Care Facility, Adult Care Home
(Licence: TX 148631)
Enumeration Date
2007-02-16
Last Update Date
2019-04-25
Business Address
Mrs. LETICIA A BASURTO
5709 LEXINGTON DR
EL PASO, TX 79924-7410
Phone number: 915-751-4983
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Mailing Address
Mrs. LETICIA A BASURTO
5709 LEXINGTON DR
EL PASO, TX 79924-7410
Phone number: 915-740-2687
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