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1982957106
GAIUS B FOMUSO
MANSFIELD, TX
NPI
1982957106
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2012-10-25
Last Update Date
2012-10-25
Business Address
-- GAIUS B FOMUSO
203 LORIENT DR
MANSFIELD, TX 76063-5572
Phone number: 214-256-6648
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Mailing Address
-- GAIUS B FOMUSO
203 LORIENT DR
MANSFIELD, TX 76063-5572
Phone number: 214-256-6648
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