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1003648692
PHILLIP MORRIS BIRDINE
DENTON, TX
NPI
1003648692
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
291U00000X Clinical Medical Laboratory
(Licence: TX 45D2308500)
Enumeration Date
2024-08-14
Last Update Date
2024-08-14
Business Address
Mr. PHILLIP MORRIS BIRDINE Lab Director
525 FORT WORTH DR STE 211
DENTON, TX 76201-7179
Phone number: 940-465-3822
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Mailing Address
Mr. PHILLIP MORRIS BIRDINE Lab Director
525 FORT WORTH DR STE 211
DENTON, TX 76201-7179
Phone number: 940-465-3822
Copy
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