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1255562294
MICHAEL D KEOWN
TYLER, TX
NPI
1255562294
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224P00000X Prosthetist
(Licence: TX 1373)
Additional Taxonomies
222Z00000X Orthotist
(Licence: TX 1373)
Enumeration Date
2009-08-06
Last Update Date
2009-08-06
Business Address
-- MICHAEL D KEOWN CO, LPO
2413 E 5TH ST
TYLER, TX 75701-3523
Phone number: 903-533-8202
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Mailing Address
-- MICHAEL D KEOWN CO, LPO
2413 E 5TH ST
TYLER, TX 75701-3523
Phone number: 903-533-8202
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