Individual
MR. JUSTIN IREY DUNNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
806 GLENWOOD DR, WACO, TX 76705-2658
(254) 424-3408
(254) 799-3902
Mailing address
806 GLENWOOD DR, WACO, TX 76705-2658
(254) 424-3408
(254) 799-3902
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/06/2009
Last updated
01/06/2009
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