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1003496811
TAYLOR JAMES OVERTON
LUBBOCK, TX
NPI
1003496811
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2081S0010X Physical Medicine & Rehabilitation, Sports Medicine
(Licence: TX AT6556)
Enumeration Date
2021-04-14
Last Update Date
2021-04-14
Business Address
TAYLOR JAMES OVERTON MAT, LAT, ATC
2621 DRIVE OF CHAMPIONS
LUBBOCK, TX 79414
Phone number: 972-775-0519
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Mailing Address
TAYLOR JAMES OVERTON MAT, LAT, ATC
4824 72ND ST
LUBBOCK, TX 79424-2102
Phone number: 972-921-9877
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