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1578943676
LORI FANGUE
FORT WORTH, TX
NPI
1578943676
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: TX 73565)
Enumeration Date
2015-06-03
Last Update Date
2015-06-03
Business Address
-- LORI FANGUE
4316 LATIGO CIR
FORT WORTH, TX 76244-8153
Phone number: 469-525-5775
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Mailing Address
-- LORI FANGUE
4316 LATIGO CIR
FORT WORTH, TX 76244-8153
Phone number: 469-525-5775
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