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1154691434
JIMMY LEE WARDLAW
ROCKWALL, TX
NPI
1154691434
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: TX 8100)
Enumeration Date
2012-01-04
Last Update Date
2012-01-04
Business Address
Dr. JIMMY LEE WARDLAW
107 SCENIC DR
ROCKWALL, TX 75032-8615
Phone number: 972-771-8602
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Mailing Address
Dr. JIMMY LEE WARDLAW
107 SCENIC DR
ROCKWALL, TX 75032-8615
Phone number: 972-771-8602
Copy
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