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1093994717
JASON PERRY BREWINGTON
FORT WORTH, TX
NPI
1093994717
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TX M8554)
Enumeration Date
2007-10-30
Last Update Date
2008-08-04
Business Address
-- JASON PERRY BREWINGTON MD
1500 S MAIN ST
FORT WORTH, TX 76104-4917
Phone number: 817-927-1215
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Mailing Address
-- JASON PERRY BREWINGTON MD
1500 S MAIN ST
FORT WORTH, TX 76104-4917
Phone number: 817-927-1214
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