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1487841151
DUSTIN R FENTRESS
SAN ANGELO, TX
NPI
1487841151
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA00000)
Enumeration Date
2007-09-26
Last Update Date
2013-05-24
Business Address
-- DUSTIN R FENTRESS PA
102 N MAGDALEN ST
SAN ANGELO, TX 76903-5400
Phone number: 325-658-1511
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Mailing Address
-- DUSTIN R FENTRESS PA
PO BOX 22000
SAN ANGELO, TX 76902-7200
Phone number: 325-658-1511
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