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Individual

LAUREN FOURNIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
350 N STATE HIGHWAY 360 APT 2308, MANSFIELD, TX 76063-9049
(682) 730-0004
Mailing address
350 N STATE HIGHWAY 360 APT 2308, MANSFIELD, TX 76063-9049
(682) 730-0004

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
116941
TX

Other

Enumeration date
05/04/2015
Last updated
05/04/2015
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