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Individual

JULIEN LAWRENCE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
10141 CHAPEL OAK TRL, FORT WORTH, TX 76116-1234
(817) 319-6046
(817) 244-3242
Mailing address
PO BOX 121342, FORT WORTH, TX 76121-1342
(817) 319-6046
(817) 244-3242

Taxonomy

Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
30815
TX

Other

Enumeration date
05/02/2013
Last updated
05/02/2013
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