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Individual

JANICE FONNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
909 8TH ST STE 100, WICHITA FALLS, TX 76301-6818
(205) 896-3644
Mailing address
343 PR 409, MONTAGUE, TX 76251
(214) 717-7432

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
668558
TX

Other

Enumeration date
10/06/2020
Last updated
10/06/2020
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