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Individual

ESTHER FASANMI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM.D.

Contact information

Practice address
1350 S MAIN ST, SUITE 1600, FORT WORTH, TX 76104-7611
(817) 702-3701
Mailing address
6061 MONTE VISTA LN, APT. 1015, FORT WORTH, TX 76132-5434

Taxonomy

Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
55366
TX

Other

Enumeration date
08/07/2016
Last updated
08/07/2016
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