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1073780912
MICHELE N FAGAN
PLANO, TX
NPI
1073780912
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Former Name
MICHELE N PENNING
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 15119)
Enumeration Date
2008-05-09
Last Update Date
2008-05-09
Business Address
-- MICHELE N FAGAN CCC/SLP
1201 E 15TH ST SUITE 304
PLANO, TX 75074-6238
Phone number: 972-424-0148
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Mailing Address
-- MICHELE N FAGAN CCC/SLP
1201 E 15TH ST SUITE 304
PLANO, TX 75074-6238
Phone number: 972-424-0148
Copy
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