Provider Information for 1750904033
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JULIETA OFELIA PULIDO LPC
Sex: Female
NPI: 1750904033
Last Updated: 2020-05-21
Certification Date: 2020-05-21
Certification Date: 2020-05-21
Details
| Name | Value | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1750904033 | ||||||||||||||
| Enumeration Date | 2020-05-21 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | NO | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | 8730 BOEING DR EL PASO, TX 79925-1228 United States Phone: | Fax: | ||||||||||||||
| Primary Practice Address | 8730 BOEING DR EL PASO, TX 79925-1228 United States Phone: 915-887-3410 | Fax: | ||||||||||||||
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