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1215160312
BAYSIDE DERMATOLOGY PA
GRANBURY, TX
NPI
1215160312
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Entity Type
Organization
Authorized Contact
DONALD JEFFREY BROWN
Owner/Principal
806-771-1166
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
Enumeration Date
2009-08-24
Last Update Date
2010-01-07
Business Address
BAYSIDE DERMATOLOGY PA
1321 WATERS EDGE DR SUITE 1003
GRANBURY, TX 76048-2567
Phone number: 806-771-1166
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Mailing Address
BAYSIDE DERMATOLOGY PA
1321 WATERS EDGE DR SUITE 1003
GRANBURY, TX 76048-2567
Phone number: 806-771-1166
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