MICHAEL BRACKETT

FORT WORTH, TX
NPI1447002415
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-04-03
Last Update Date2024-04-03
Business Address
MICHAEL BRACKETT
1500 S MAIN ST
FORT WORTH, TX 76104-4917
Phone number: 817-702-1100
Mailing Address
MICHAEL BRACKETT
220 HIGHLAND TRL
LAGRANGE, GA 30240-3746
Phone number:
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