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1750791117
IREAL JOHNSON FUSCO
AUSTIN, TX
NPI
1750791117
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Former Name
IREAL JOHNSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: TX R2369)
Enumeration Date
2014-05-06
Last Update Date
2018-05-10
Business Address
IREAL JOHNSON FUSCO M.D.
4900 MUELLER BLVD C/O DELL CHILDREN'S PEM FELLOWSHIP
AUSTIN, TX 78723-3079
Phone number: 512-324-0093
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Mailing Address
IREAL JOHNSON FUSCO M.D.
3100 SW 62ND AVE
MIAMI, FL 33155-3009
Phone number:
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