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1487708624
MALCOLM KENT LYON
NACOGDOCHES, TX
NPI
1487708624
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207PE0004X Emergency Medicine, Emergency Medical Services
(Licence: TX F9762)
Enumeration Date
2007-01-23
Last Update Date
2007-07-08
Business Address
Dr. MALCOLM KENT LYON do
1204 N MOUND ST
NACOGDOCHES, TX 75961-4027
Phone number: 936-568-8448
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Mailing Address
Dr. MALCOLM KENT LYON do
PO BOX 630810
NACOGDOCHES, TX 75963-0810
Phone number: 936-559-0235
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