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Individual

GINA KO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8700 MENCHACA RD STE 704, AUSTIN, TX 78748-5378
(737) 297-9110
Mailing address
8715 W HIGHWAY 71 APT 2304, AUSTIN, TX 78735-0034

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
91281
TX

Other

Enumeration date
02/19/2024
Last updated
02/19/2024
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