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1568564383
JOHNNIE LAURAETTA FANNER
SAN ANTONIO, TX
NPI
1568564383
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
374T00000X Religious Nonmedical Nursing Personnel
(Licence: TX 221594)
Enumeration Date
2006-09-02
Last Update Date
2007-07-08
Business Address
Ms. JOHNNIE LAURAETTA FANNER NP
7400 MERTON MINTER ST
SAN ANTONIO, TX 78229-4404
Phone number: 210-617-5300
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Mailing Address
Ms. JOHNNIE LAURAETTA FANNER NP
707 SINGING WIND DR
SAN ANTONIO, TX 78227-1028
Phone number: 210-617-5300
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