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1982972261
ASHLEY MODISETTE
LONGVIEW, TX
NPI
1982972261
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
Enumeration Date
2011-12-01
Last Update Date
2011-12-01
Business Address
-- ASHLEY MODISETTE
1301 EDEN DR
LONGVIEW, TX 75605-4102
Phone number: 903-238-8085
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Mailing Address
-- ASHLEY MODISETTE
4109 HIGHWAY 98 W
SUMMIT, MS 39666-9132
Phone number:
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