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1053679050
MICHAEL AMOS
BEAUMONT, TX
NPI
1053679050
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224P00000X Prosthetist
(Licence: TX 403)
Additional Taxonomies
222Z00000X Orthotist
(Licence: TX 403)
Enumeration Date
2012-04-26
Last Update Date
2012-04-26
Business Address
-- MICHAEL AMOS LCPO
3395 PLAZA 10 DR STE D
BEAUMONT, TX 77707-2555
Phone number: 409-838-5473
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Mailing Address
-- MICHAEL AMOS LCPO
3395 PLAZA 10 DR STE D
BEAUMONT, TX 77707-2555
Phone number: 409-838-5473
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