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1144897117
CLYDE LOUIS DEERE
DALLAS, TX
NPI
1144897117
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225800000X Recreation Therapist
Additional Taxonomies
225800000X Recreation Therapist
Enumeration Date
2021-06-08
Last Update Date
2021-06-08
Business Address
Mr. CLYDE LOUIS DEERE
4500 S LANCASTER RD
DALLAS, TX 75216-7167
Phone number: 214-857-1134
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Mailing Address
Mr. CLYDE LOUIS DEERE
4500 S LANCASTER RD
DALLAS, TX 75216-7167
Phone number: 214-857-1134
Copy
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