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Individual

DENNIS EARL SPAIN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CPT, LSN

Contact information

Practice address
400 N SAINT PAUL ST, #310, DALLAS, TX 75201-3114
(214) 205-8915
(469) 904-2740
Mailing address
400 N SAINT PAUL ST, #310, DALLAS, TX 75201-3114
(214) 205-8915
(469) 904-2740

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
2728294
TX
2255A2300X
Athletic Trainer
Primary
2728293
TX

Other

Enumeration date
12/17/2015
Last updated
12/17/2015
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