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1053953034
JERRY EDWARD HOOVER
DALLAS, TX
NPI
1053953034
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 11460)
Enumeration Date
2019-10-11
Last Update Date
2019-10-11
Business Address
JERRY EDWARD HOOVER
2010 AL LIPSCOMB WAY
DALLAS, TX 75215-2773
Phone number: 214-421-6705
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Mailing Address
JERRY EDWARD HOOVER
2010 AL LIPSCOMB WAY
DALLAS, TX 75215-2773
Phone number: 214-421-6705
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