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1376082131
CARLY BOHANNON
FORT WORTH, TX
NPI
1376082131
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2017-02-13
Last Update Date
2017-02-13
Business Address
-- CARLY BOHANNON
4901 SLEEPY RIDGE CIR
FORT WORTH, TX 76133-8329
Phone number: 682-233-1232
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Mailing Address
-- CARLY BOHANNON
4901 SLEEPY RIDGE CIR
FORT WORTH, TX 76133-8329
Phone number: 682-233-1232
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