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Individual

ANGEL MARIO SALAZAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1529 E SANDY LAKE RD, COPPELL, TX 75019-3107
(214) 625-4884
Mailing address
1529 E SANDY LAKE RD, COPPELL, TX 75019-3107
(214) 625-4884

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-397104
TX

Other

Enumeration date
05/13/2025
Last updated
05/13/2025
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