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1124158308
PAUL E THIBODEAUX
IRVING, TX
NPI
1124158308
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: TX 33151)
Additional Taxonomies
183500000X Pharmacist
(Licence: LA 13132)
Enumeration Date
2007-03-06
Last Update Date
2007-07-08
Business Address
Mr. PAUL E THIBODEAUX RPh
4835 N O CONNOR RD SUITE 130
IRVING, TX 75062-2720
Phone number: 972-580-1814
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Mailing Address
Mr. PAUL E THIBODEAUX RPh
1304 ROSEWOOD TRL
FLOWER MOUND, TX 75028-1436
Phone number: 214-402-8580
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