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1912680695
ETHAN FOURNIER
HOUSTON, TX
NPI
1912680695
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: TX 19126800695)
Enumeration Date
2023-08-09
Last Update Date
2023-10-30
Business Address
ETHAN FOURNIER
6701 FANNIN ST STE 1400
HOUSTON, TX 77030-2613
Phone number: 800-226-2379
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Mailing Address
ETHAN FOURNIER
30711 S HOLLY OAKS CIR
MAGNOLIA, TX 77355-5714
Phone number: 281-253-7963
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