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1962133975
DANIEL JEREMIAH CONCANNON
DALLAS, TX
NPI
1962133975
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
222Z00000X Orthotist
(Licence: TX 2230)
Additional Taxonomies
224P00000X Prosthetist
(Licence: TX 2230)
Enumeration Date
2022-06-21
Last Update Date
2022-06-21
Business Address
DANIEL JEREMIAH CONCANNON
2222 WELBORN ST
DALLAS, TX 75219-3924
Phone number: 214-559-5000
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Mailing Address
DANIEL JEREMIAH CONCANNON
2222 WELBORN ST
DALLAS, TX 75219-3924
Phone number: 214-559-5135
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