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1427057348
GREG JACK AMELUNG
SOUTHLAKE, TX
NPI
1427057348
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: TX 1859)
Enumeration Date
2005-07-21
Last Update Date
2016-12-12
Business Address
Dr. GREG JACK AMELUNG DPM
1940 E HIGHWAY 114 STE 150
SOUTHLAKE, TX 76092-6526
Phone number: 817-503-0009
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Mailing Address
Dr. GREG JACK AMELUNG DPM
809 W HARWOOD RD STE 202
HURST, TX 76054-6233
Phone number: 817-424-3668
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