GARRY WAYNE WICKLIFFE

TYLER, TX
NPI1336724236
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence: TX  SA00957)
Enumeration Date2021-03-11
Last Update Date2024-03-31
Business Address
GARRY WAYNE WICKLIFFE LSA, CST
704 S FLEISHEL AVE
TYLER, TX 75701-2014
Phone number: 903-646-5350
Mailing Address
GARRY WAYNE WICKLIFFE LSA, CST
2320 KAYNELL DR
HENDERSON, TX 75654-4718
Phone number: 936-635-3169
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