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1861952921
KEVIN WEIDE YAN
FORT WORTH, TX
NPI
1861952921
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-03-23
Last Update Date
2019-03-23
Business Address
KEVIN WEIDE YAN
1500 S MAIN ST
FORT WORTH, TX 76104-4917
Phone number: 817-702-1244
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Mailing Address
KEVIN WEIDE YAN
1500 S MAIN ST
FORT WORTH, TX 76104-4917
Phone number:
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