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1013327204
JASON FARIS
TEXARKANA, TX
NPI
1013327204
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TX 111457)
Enumeration Date
2014-04-28
Last Update Date
2014-04-28
Business Address
-- JASON FARIS OTR
4100 MOORES LN
TEXARKANA, TX 75503-5102
Phone number: 903-733-1557
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Mailing Address
-- JASON FARIS OTR
4100 MOORES LN
TEXARKANA, TX 75503-5102
Phone number: 903-733-1557
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