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1427000264
GARY LEE ETTER
FORT WORTH, TX
NPI
1427000264
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: TX F6608)
Enumeration Date
2006-05-17
Last Update Date
2011-09-27
Business Address
-- GARY LEE ETTER MD
855 MONTGOMERY ST
FORT WORTH, TX 76107-2553
Phone number: 817-735-2400
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Mailing Address
-- GARY LEE ETTER MD
PO BOX 99335
FORT WORTH, TX 76199-0335
Phone number:
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