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1033577754
JOHN FERNON
ORANGE, TX
NPI
1033577754
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 661127)
Enumeration Date
2016-02-09
Last Update Date
2016-02-09
Business Address
-- JOHN FERNON
149 PARISH RD
ORANGE, TX 77632-7002
Phone number: 409-745-9101
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Mailing Address
-- JOHN FERNON
149 PARISH RD
ORANGE, TX 77632-7002
Phone number: 409-745-9101
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