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1407077696
JPSHEALTH NETWORK
FORT WORTH, TX
NPI
1407077696
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Entity Type
Organization
Authorized Contact
NELS KERMIT OLSON
Physician
817-927-1395
Organization Subpart ?
No
Primary Taxonomy
171W00000X Contractor
(Licence: TX D1758)
Enumeration Date
2007-05-02
Last Update Date
2020-08-22
Business Address
JPSHEALTH NETWORK
1500 S MAIN ST
FORT WORTH, TX 76104-4917
Phone number: 817-927-1395
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Mailing Address
JPSHEALTH NETWORK
1500 S MAIN ST
FORT WORTH, TX 76104-4917
Phone number: 817-927-1395
Copy
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