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Application forLicensurePLCU/CST Department of State Health Services Mail Code 2003 PO Box 149347 Austin, Texas 787149347 Phone (512) 8344530 Fax (512) 8346677Please Print or TypeLicensure Type(check)LSOTPASOTPApplicant
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The phone number is 512-834-4530 and the fax number is 512.
Individuals or entities specified by the governing body.
The form can be filled out online or submitted via mail.
The purpose is to report specific information to the relevant authority.
Details such as income, expenses, and any relevant financial information.
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