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1093720450
GORDON WAYNE SIXTY
BULVERDE, TX
NPI
1093720450
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: TX 21094)
Enumeration Date
2006-07-31
Last Update Date
2007-07-09
Business Address
Dr. GORDON WAYNE SIXTY Ph.D.
5925 FM 1863
BULVERDE, TX 78163-4009
Phone number: 830-980-8027
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Mailing Address
Dr. GORDON WAYNE SIXTY Ph.D.
5925 FM 1863
BULVERDE, TX 78163-4009
Phone number: 830-980-8027
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