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1366150260
CONCEPCION FANOUS
TYLER, TX
NPI
1366150260
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Other Name
CONNIE FANOUS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: TX 521535)
Enumeration Date
2022-11-09
Last Update Date
2022-11-09
Business Address
Mrs. CONCEPCION FANOUS RN
220 SADDLE CREEK DR
TYLER, TX 75703-0811
Phone number: 903-539-1426
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Mailing Address
Mrs. CONCEPCION FANOUS RN
220 SADDLE CREEK DR
TYLER, TX 75703-0811
Phone number: 903-539-1426
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