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1205051463
THOMAS LAVERNE HUSTON
CHICO, CA
NPI
1205051463
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
332B00000X Durable Medical Equipment & Medical Supplies
(Licence: CA 101022)
Enumeration Date
2007-04-14
Last Update Date
2007-09-06
Business Address
Mr. THOMAS LAVERNE HUSTON
10 VIA FLORA CT
CHICO, CA 95973-0995
Phone number: 530-540-5626
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Mailing Address
Mr. THOMAS LAVERNE HUSTON
10 VIA FLORA CT
CHICO, CA 95973-0995
Phone number: 530-540-5626
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