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1265906135
CLAYTON MARK THOMAS
JEFFERSON, TX
NPI
1265906135
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: TX 320644)
Enumeration Date
2019-01-14
Last Update Date
2019-01-14
Business Address
CLAYTON MARK THOMAS
120 N WALNUT ST
JEFFERSON, TX 75657-1934
Phone number: 903-665-6131
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Mailing Address
CLAYTON MARK THOMAS
PO BOX 901
JEFFERSON, TX 75657-0901
Phone number:
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