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1194255992
ELIZABETH FORD
TEMPLE, TX
NPI
1194255992
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2085U0001X Radiology, Diagnostic Ultrasound
(Licence: TX 23264)
Enumeration Date
2017-06-14
Last Update Date
2017-06-14
Business Address
ELIZABETH FORD
202 WOODBRIDGE BLVD 247
TEMPLE, TX 76504
Phone number: 248-421-7005
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Mailing Address
ELIZABETH FORD
202 WOODBRIDGE BLVD APT 247
TEMPLE, TX 76504-2129
Phone number: 248-421-7005
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