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1891883302
PETER ANTHONY FADULLON
FRISCO, TX
NPI
1891883302
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1075026)
Enumeration Date
2006-10-10
Last Update Date
2007-07-08
Business Address
Mr. PETER ANTHONY FADULLON PT
12105 JEREME TRL
FRISCO, TX 75035-8224
Phone number: 972-335-9127
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Mailing Address
Mr. PETER ANTHONY FADULLON PT
12105 JEREME TRL
FRISCO, TX 75035-8224
Phone number: 972-335-9127
Copy
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