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Individual
MR. ESTEBAN F GAGO
Active
Individual
MR. ESTEBAN F GAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
100656
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204593201
—
TX
05
—
204593201AND02
—
TX
Enumeration date
01/23/2009
Last updated
09/05/2012
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