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1013025121
LARRY MIKE BLOODSWORTH
TYLER, TX
NPI
1013025121
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: TX 11305)
Enumeration Date
2006-08-28
Last Update Date
2007-07-08
Business Address
Dr. LARRY MIKE BLOODSWORTH DDS
1001 MAGNOLIA DRIVE
TYLER, TX 75701
Phone number: 903-595-2707
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Mailing Address
Dr. LARRY MIKE BLOODSWORTH DDS
1001 MAGNOLIA DRIVE
TYLER, TX 75701
Phone number: 903-595-2707
Copy
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