STACY LYNN FENNELL

FORT SAM HOUSTON, TX
NPI1477846582
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208D00000X General Practice
(Licence: IN  02004134A)
Enumeration Date2011-05-23
Last Update Date2014-05-23
Business Address
-- STACY LYNN FENNELL D.O.
3851 ROGER BROOKE DR MCHE-EMR
FORT SAM HOUSTON, TX 78234-4501
Phone number: 210-292-7626
Mailing Address
-- STACY LYNN FENNELL D.O.
8344 VERSAILLES SE RD
BRADFORD, OH 45308-9602
Phone number: 937-974-8352
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