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1245769124
ETHAN FRY
TEMPLE, TX
NPI
1245769124
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2017-06-05
Last Update Date
2022-07-21
Business Address
ETHAN FRY DO
2401 S 31ST ST
TEMPLE, TX 76508-0001
Phone number: 254-724-2111
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Mailing Address
ETHAN FRY DO
2401 S 31ST ST
TEMPLE, TX 76508-0001
Phone number: 254-724-2111
Copy
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