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1720244254
ANTHONY SHAWN FOGERSON
LUBBOCK, TX
NPI
1720244254
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TX 111917)
Enumeration Date
2008-08-04
Last Update Date
2008-08-04
Business Address
MR. ANTHONY SHAWN FOGERSON OTR
2005 BROADWAY
LUBBOCK, TX 79401-3019
Phone number: 806-744-3800
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Mailing Address
MR. ANTHONY SHAWN FOGERSON OTR
2005 BROADWAY
LUBBOCK, TX 79401-3019
Phone number: 806-744-3800
Copy
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