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1255994836
KOLEY CHANCE PACK
AMARILLO, TX
NPI
1255994836
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TX T8007)
Enumeration Date
2019-04-18
Last Update Date
2022-09-08
Business Address
KOLEY CHANCE PACK
2001 S COULTER ST
AMARILLO, TX 79106-2521
Phone number: 806-318-5777
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Mailing Address
KOLEY CHANCE PACK
2001 S COULTER ST
AMARILLO, TX 79106-2521
Phone number: 806-318-5777
Copy
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