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1326528290
MAKAYLA LEEANN FONDRICK
BEAUMONT, TX
NPI
1326528290
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2018-08-20
Last Update Date
2018-08-20
Business Address
MAKAYLA LEEANN FONDRICK
3330 FANNIN ST
BEAUMONT, TX 77701-3801
Phone number: 409-832-3304
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Mailing Address
MAKAYLA LEEANN FONDRICK
130 CUNNINGHAM AVE
LUMBERTON, TX 77657-9589
Phone number: 409-338-4355
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