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1225026420
SALLY BORUCKI
TEMPLE, TX
NPI
1225026420
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: TX H0195)
Enumeration Date
2005-10-11
Last Update Date
2019-05-20
Business Address
SALLY BORUCKI MD
2401 SO 31ST STREET
TEMPLE, TX 76508-0001
Phone number: 254-724-2111
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Mailing Address
SALLY BORUCKI MD
PO BOX 844658
DALLAS, TX 75284-4658
Phone number:
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