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1427658640
STACEY FONDREN
HUMBLE, TX
NPI
1427658640
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment
(Licence: TX 85967)
Enumeration Date
2020-10-27
Last Update Date
2020-10-27
Business Address
MS. STACEY FONDREN ATP
2111 FM 1960 RD E
HUMBLE, TX 77338-5229
Phone number: 832-445-0956
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Mailing Address
MS. STACEY FONDREN ATP
18802 ATASCA SOUTH DR
HUMBLE, TX 77346-4813
Phone number: 832-319-9980
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