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1912607037
JACEK ANTHONY WALASEK
SAN ANTONIO, TX
NPI
1912607037
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: TX RBT-22-208106)
Enumeration Date
2023-03-07
Last Update Date
2023-03-07
Business Address
JACEK ANTHONY WALASEK
3766 TUPELO LN APT 2402
SAN ANTONIO, TX 78229-2215
Phone number: 832-694-8151
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Mailing Address
JACEK ANTHONY WALASEK
3766 TUPELO LN APT 2402
SAN ANTONIO, TX 78229-2215
Phone number: 832-694-8151
Copy
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