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1477849370
DESHAWN D. FONTENOT
GRAND PRAIRIE, TX
NPI
1477849370
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: TX 47067)
Enumeration Date
2011-06-20
Last Update Date
2011-06-20
Business Address
Dr. DESHAWN D. FONTENOT Pharm. D.
5270 S STATE HIGHWAY 360 T-2243
GRAND PRAIRIE, TX 75052-8307
Phone number: 469-348-2101
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Mailing Address
Dr. DESHAWN D. FONTENOT Pharm. D.
5270 S STATE HIGHWAY 360 T-2243
GRAND PRAIRIE, TX 75052-8307
Phone number: 469-348-2101
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