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1972737245
FAWN ISON
FORT BLISS, TX
NPI
1972737245
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date
2009-05-14
Last Update Date
2015-12-15
Business Address
-- FAWN ISON IDMT
11319 SSG SIMS ST
FORT BLISS, TX 79918
Phone number: 915-744-2090
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Mailing Address
-- FAWN ISON IDMT
3720 LOMA JACINTO DR
EL PASO, TX 79938-1233
Phone number: 850-461-4353
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