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1336778711
EPHRAIM JOSEPH ANDERSON
LUBBOCK, TX
NPI
1336778711
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
374K00000X
Enumeration Date
2020-04-07
Last Update Date
2020-04-07
Business Address
EPHRAIM JOSEPH ANDERSON
3615 19TH ST
LUBBOCK, TX 79410-1203
Phone number: 806-725-0000
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Mailing Address
EPHRAIM JOSEPH ANDERSON
512 N EVANSTON AVE APT 1
LUBBOCK, TX 79416-3917
Phone number: 216-203-3653
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