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1629053384
JERRY K GIDEON
SAN ANGELO, TX
NPI
1629053384
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207ZB0001X Pathology, Blood Banking & Transfusion Medicine
(Licence: TX H6236)
Enumeration Date
2005-12-14
Last Update Date
2013-08-15
Business Address
-- JERRY K GIDEON MD
120 E HARRIS AVE
SAN ANGELO, TX 76903-5904
Phone number: 325-658-1511
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Mailing Address
-- JERRY K GIDEON MD
PO BOX 22000
SAN ANGELO, TX 76902-7200
Phone number: 325-658-1511
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