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1295000883
DAVID RUSSELL BROWN
FORT WORTH, TX
NPI
1295000883
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: UT 13724)
Enumeration Date
2012-03-14
Last Update Date
2012-03-14
Business Address
DAVID RUSSELL BROWN
5316 TRAIL LAKE DR
FORT WORTH, TX 76133-1931
Phone number: 817-292-8787
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Mailing Address
DAVID RUSSELL BROWN
5316 TRAIL LAKE DR
FORT WORTH, TX 76133-1931
Phone number: 817-292-8787
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