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1891042115
ALLYSSAN CARRILLO
EL PASO, TX
NPI
1891042115
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 35460)
Enumeration Date
2012-08-06
Last Update Date
2012-08-06
Business Address
-- ALLYSSAN CARRILLO
6601 MONTANA AVE SUITE G
EL PASO, TX 79925-2155
Phone number: 915-838-7604
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Mailing Address
-- ALLYSSAN CARRILLO
5316 TRAI LLAKE DRIVE
FORT WORTH, TX 76133
Phone number: 817-292-8787
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