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1356329387
MIKE REDDELL
LUBBOCK, TX
NPI
1356329387
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA04637)
Enumeration Date
2006-01-09
Last Update Date
2022-02-10
Business Address
MIKE REDDELL PA
301 UTICA AVE
LUBBOCK, TX 79416-3111
Phone number: 806-797-4985
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Mailing Address
MIKE REDDELL PA
301 UTICA AVE
LUBBOCK, TX 79416-3111
Phone number: 806-797-4985
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