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1376582551
JON S. FANNIN
KERRVILLE, TX
NPI
1376582551
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NM R43299)
Enumeration Date
2006-06-05
Last Update Date
2007-10-23
Business Address
-- JON S. FANNIN CRNA
710 WATER ST
KERRVILLE, TX 78028-5329
Phone number: 830-896-1344
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Mailing Address
-- JON S. FANNIN CRNA
420 WATER ST 105-B
KERRVILLE, TX 78028-5200
Phone number: 830-896-1344
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