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1073902557
ANTHONY MICHEAL BIRDOW
FORT WORTH, TX
NPI
1073902557
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
(Licence: TX 34427598)
Enumeration Date
2015-01-21
Last Update Date
2015-01-21
Business Address
Mr. ANTHONY MICHEAL BIRDOW
5601 BRIDGE ST
FORT WORTH, TX 76112-2384
Phone number: 972-598-2002
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Mailing Address
Mr. ANTHONY MICHEAL BIRDOW
5601 BRIDGE ST
FORT WORTH, TX 76112-2384
Phone number: 972-598-2002
Copy
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