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1952857559
DALLAS JACOB LOPEZ
LAREDO, TX
NPI
1952857559
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2355S0801X Specialist/Technologist, Speech-Language Assistant
(Licence: TX 39767)
Enumeration Date
2016-09-01
Last Update Date
2018-08-15
Business Address
DALLAS JACOB LOPEZ
615A GALE ST
LAREDO, TX 78041-5955
Phone number: 956-712-9988
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Mailing Address
DALLAS JACOB LOPEZ
2903 MUSSER ST
LAREDO, TX 78043-2525
Phone number: 956-740-7731
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