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1164645156
DOUGLAS LEE DIESEL
SHERMAN, TX
NPI
1164645156
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
222Z00000X Orthotist
(Licence: TX 255)
Additional Taxonomies
224P00000X Prosthetist
(Licence: TX 255)
Enumeration Date
2007-04-10
Last Update Date
2008-02-25
Business Address
-- DOUGLAS LEE DIESEL CPO, LPO
1411 W HOUSTON ST
SHERMAN, TX 75092-7409
Phone number: 903-891-0230
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Mailing Address
-- DOUGLAS LEE DIESEL CPO, LPO
1411 W HOUSTON ST
SHERMAN, TX 75092-7409
Phone number: 903-891-0230
Copy
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