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1144280702
DEREK K. (KENT) LICHOTA
TEMPLE, TX
NPI
1144280702
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: TX H4491)
Enumeration Date
2006-03-27
Last Update Date
2013-11-08
Business Address
Dr. DEREK K. (KENT) LICHOTA MD
2401 S 31ST ST
TEMPLE, TX 76508-0001
Phone number: 254-724-2111
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Mailing Address
Dr. DEREK K. (KENT) LICHOTA MD
PO BOX 847408
DALLAS, TX 75284-7408
Phone number: 254-724-2111
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