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1205801966
LEE H RIDENOUR
TYLER, TX
NPI
1205801966
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: TX F1937)
Enumeration Date
2006-02-17
Last Update Date
2014-10-13
Business Address
Dr. LEE H RIDENOUR MD
520 E DOUGLAS BLVD
TYLER, TX 75702-8307
Phone number: 903-593-1721
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Mailing Address
Dr. LEE H RIDENOUR MD
PO BOX 846098
DALLAS, TX 75284-6098
Phone number: 903-324-6450
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