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1952457079
ERIC M. RUSTAD
FORT WORTH, TX
NPI
1952457079
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: TX 18992)
Enumeration Date
2007-01-25
Last Update Date
2007-07-09
Business Address
MR. ERIC M. RUSTAD M.A., CCC-SLP
2228 MISTLETOE AVE
FORT WORTH, TX 76110-1145
Phone number: 817-939-7307
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Mailing Address
MR. ERIC M. RUSTAD M.A., CCC-SLP
2228 MISTLETOE AVE
FORT WORTH, TX 76110-1145
Phone number: 817-939-7307
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