DWAIN R FASO

ADDISON, TX
NPI1801155890
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy222Z00000X Orthotist
(Licence: TX  206)
Enumeration Date2012-05-10
Last Update Date2012-05-10
Business Address
-- DWAIN R FASO
15301 SPECTRUM DR SUITE # 175
ADDISON, TX 75001-4665
Phone number: 972-980-9660
Mailing Address
-- DWAIN R FASO
15301 SPECTRUM DR SUITE # 175
ADDISON, TX 75001-4665
Phone number: 972-980-9660
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