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1518961291
GERRY L MADDOUX
LUBBOCK, TX
NPI
1518961291
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: TX J0992)
Enumeration Date
2005-06-09
Last Update Date
2007-07-08
Business Address
-- GERRY L MADDOUX M.D.
3710 21ST ST
LUBBOCK, TX 79410-1220
Phone number: 806-780-8003
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Mailing Address
-- GERRY L MADDOUX M.D.
3710 21ST ST
LUBBOCK, TX 79410-1220
Phone number: 806-780-8003
Copy
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