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1639856636
MICHAEL JOE GENTRY
LONGVIEW, TX
NPI
1639856636
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
332B00000X Durable Medical Equipment & Medical Supplies
(Licence: TX 1003219)
Enumeration Date
2023-06-30
Last Update Date
2023-09-21
Business Address
MICHAEL JOE GENTRY LVN
5899 HWY 80 EAST BUILDING A SUITE 3
LONGVIEW, TX 75605
Phone number: 903-203-7922
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Mailing Address
MICHAEL JOE GENTRY LVN
133 SADDLE BROOK CIR
HALLSVILLE, TX 75650-7722
Phone number: 903-203-7922
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