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1942719208
CRYSTAL MIROSALBA LARA
EL PASO, TX
NPI
1942719208
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 112844)
Enumeration Date
2017-09-29
Last Update Date
2017-09-29
Business Address
CRYSTAL MIROSALBA LARA MS, CCC-SLP
1514 N ZARAGOZA RD STE B4
EL PASO, TX 79936-8041
Phone number: 915-257-5782
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Mailing Address
CRYSTAL MIROSALBA LARA MS, CCC-SLP
344 COLMILLO DR
EL PASO, TX 79907-4145
Phone number: 915-633-5699
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