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1003961095
WESLEY DALE ANDERSON
ODESSA, TX
NPI
1003961095
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
246ZS0410X Specialist/Technologist, Other, Surgical Technologist
(Licence: TX SA00001)
Enumeration Date
2007-01-23
Last Update Date
2007-07-08
Business Address
Mr. WESLEY DALE ANDERSON L.S.A.
4384 N CYPRESS AVE
ODESSA, TX 79764-9376
Phone number: 432-385-7979
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Mailing Address
Mr. WESLEY DALE ANDERSON L.S.A.
4384 N CYPRESS AVE
ODESSA, TX 79764-9376
Phone number: 432-385-7979
Copy
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