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Individual

LUIS ABEL LUJAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1400 8TH AVE, FORT WORTH, TX 76104-4110
(817) 926-2544
Mailing address
3005 YOAKUM ST, FORT WORTH, TX 76108-8908
(817) 301-6681

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
08204127
TX

Other

Enumeration date
07/10/2014
Last updated
07/10/2014
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