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1629360193
CODI RICHARDSON KINGMAN
TEMPLE, TX
NPI
1629360193
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TX BP10039974)
Enumeration Date
2011-05-03
Last Update Date
2012-08-14
Business Address
-- CODI RICHARDSON KINGMAN M.D.
2401 S. 31ST ST.
TEMPLE, TX 76508
Phone number: 254-724-2111
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Mailing Address
-- CODI RICHARDSON KINGMAN M.D.
2401 S 31ST ST
TEMPLE, TX 76508-0001
Phone number: 254-724-2111
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