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1518193986
JAMES S SELVIDGE
TYLER, TX
NPI
1518193986
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
246ZS0410X Specialist/Technologist, Other, Surgical Technologist
Enumeration Date
2009-05-29
Last Update Date
2009-05-29
Business Address
-- JAMES S SELVIDGE CCP
312 E HOUSTON ST
TYLER, TX 75702-8218
Phone number: 903-535-5011
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Mailing Address
-- JAMES S SELVIDGE CCP
312 E HOUSTON ST
TYLER, TX 75702-8218
Phone number: 903-535-5011
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