JASON MICHAEL FANNIN

WYLIE, TX
NPI1740760628
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: TX  2112130)
Enumeration Date2018-08-20
Last Update Date2018-08-20
Business Address
JASON MICHAEL FANNIN
1420 MCCREARY RD
WYLIE, TX 75098-8776
Phone number: 972-442-6776
Mailing Address
JASON MICHAEL FANNIN
1420 MCCREARY RD
WYLIE, TX 75098-8776
Phone number: 972-442-6776
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