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1962536060
JASON LYLE TRAHAN
FORT WORTH, TX
NPI
1962536060
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: TX 38644)
Enumeration Date
2007-03-14
Last Update Date
2007-07-08
Business Address
Dr. JASON LYLE TRAHAN Pharm.D.
1400 8TH AVE
FORT WORTH, TX 76104-4110
Phone number: 817-922-1835
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Mailing Address
Dr. JASON LYLE TRAHAN Pharm.D.
1125 WABASH CT
SAGINAW, TX 76131-4962
Phone number: 817-922-1835
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