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Individual
JESSIE LEE BOSS
Active
Individual
JESSIE LEE BOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
106371
TX
235Z00000X
Speech-Language Pathologist
3661
OK
Other
Enumeration date
09/28/2010
Last updated
11/16/2011
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