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1871261024
JENNIFER VIDALES
EL PASO, TX
NPI
1871261024
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 102731)
Enumeration Date
2021-09-02
Last Update Date
2021-09-02
Business Address
JENNIFER VIDALES MS, CCC-SLP
11145 EDGEMERE BLVD
EL PASO, TX 79936-1835
Phone number: 915-434-5600
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Mailing Address
JENNIFER VIDALES MS, CCC-SLP
12448 SOMBRA GRANDE DR
EL PASO, TX 79938-4485
Phone number: 915-253-9990
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