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MRS. JESSAMINE BALAGON DACULES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
149 KLATTENHOFF LN, HUTTO, TX 78634-4638
(512) 840-7000
Mailing address
111 MANCOS DR, GEORGETOWN, TX 78626-7085
(717) 609-5718

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056.008318
IL
225X00000X
Occupational Therapist
Primary
112937
TX

Other

Enumeration date
01/03/2009
Last updated
09/19/2018
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