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1952065310
THERESA FANASCH
SAN ANTONIO, TX
NPI
1952065310
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: TX 1057198)
Enumeration Date
2021-10-22
Last Update Date
2021-10-22
Business Address
THERESA FANASCH MSN, APRN, FNP-C
63 CHAMPIONS RUN
SAN ANTONIO, TX 78258-7703
Phone number: 409-554-2645
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Mailing Address
THERESA FANASCH MSN, APRN, FNP-C
63 CHAMPIONS RUN
SAN ANTONIO, TX 78258-7703
Phone number: 409-554-2645
Copy
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