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1952376576
JASON R BRAUD
FORT WORTH, TX
NPI
1952376576
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: TX AT2539)
Enumeration Date
2006-02-17
Last Update Date
2007-07-08
Business Address
Mr. JASON R BRAUD LAT
1003 W CANNON ST
FORT WORTH, TX 76104-3030
Phone number: 817-871-3435
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Mailing Address
Mr. JASON R BRAUD LAT
2911 SAN ROCENDO ST APT #4321
FORT WORTH, TX 76116-0681
Phone number: 817-228-4588
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