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Individual

MS. JEANNE C WHISENANT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
B.S, NBC-HIS

Contact information

Practice address
3018 E HIGHWAY 377, GRANBURY, TX 76049-7403
(817) 573-2975
(817) 573-2875
Mailing address
3018 E HIGHWAY 377, GRANBURY, TX 76049-7403
(817) 573-2975
(817) 573-2875

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
50579
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
178289801
TX
01
H053146701
HEARING AID DISPENSER
TX
Enumeration date
08/15/2006
Last updated
09/08/2008
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