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1912476284
SHERREE MEDALLA PONOMARIOV
SAN ANTONIO, TX
NPI
1912476284
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 108124)
Enumeration Date
2018-11-16
Last Update Date
2018-11-16
Business Address
SHERREE MEDALLA PONOMARIOV
4553 N LOOP 1604 W STE 1119
SAN ANTONIO, TX 78249-1364
Phone number: 210-429-1770
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Mailing Address
SHERREE MEDALLA PONOMARIOV
7030 HOVINGHAM
SAN ANTONIO, TX 78257-1362
Phone number: 417-619-8628
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