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1548387160
VICTOR RAY FULFORD
LUBBOCK, TX
NPI
1548387160
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
310400000X Assisted Living Facility
(Licence: TX 117087)
Enumeration Date
2007-03-26
Last Update Date
2007-07-08
Business Address
Mr. VICTOR RAY FULFORD NA
5720 79TH ST
LUBBOCK, TX 79424-2624
Phone number: 806-698-9105
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Mailing Address
Mr. VICTOR RAY FULFORD NA
5720 79TH ST
LUBBOCK, TX 79424-2624
Phone number: 806-698-9105
Copy
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