MALCOLM RANDALL QUATTLEBAUM

ATHENS, TX
NPI1255456661
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy332B00000X Durable Medical Equipment & Medical Supplies
(Licence: TX  0079342)
Enumeration Date2007-03-21
Last Update Date2009-01-20
Business Address
Mr. MALCOLM RANDALL QUATTLEBAUM
3090 FM 317
ATHENS, TX 75752-5796
Phone number: 903-675-5900
Mailing Address
Mr. MALCOLM RANDALL QUATTLEBAUM
3090 FM 317
ATHENS, TX 75752-5796
Phone number: 903-675-5900
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