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1114218708
BRIAN SPORE DO PA
LUFKIN, TX
NPI
1114218708
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Entity Type
Organization
Authorized Contact
BRIAN SPORE
Do
936-634-2231
Organization Subpart ?
No
Primary Taxonomy
305S00000X Point of Service
(Licence: TX K5703)
Enumeration Date
2011-04-29
Last Update Date
2011-04-29
Business Address
BRIAN SPORE DO PA
3804 S MEDFORD DR
LUFKIN, TX 75901-5780
Phone number: 936-634-2231
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Mailing Address
BRIAN SPORE DO PA
3804 S MEDFORD DR
LUFKIN, TX 75901-5780
Phone number: 936-634-2231
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