GAIUS B FOMUSO

MANSFIELD, TX
NPI1982957106
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2012-10-25
Last Update Date2012-10-25
Business Address
-- GAIUS B FOMUSO
203 LORIENT DR
MANSFIELD, TX 76063-5572
Phone number: 214-256-6648
Mailing Address
-- GAIUS B FOMUSO
203 LORIENT DR
MANSFIELD, TX 76063-5572
Phone number: 214-256-6648
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