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1649535980
LEVON RAY CRUCE
BEAUMONT, TX
NPI
1649535980
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224P00000X Prosthetist
(Licence: TX 103)
Additional Taxonomies
222Z00000X Orthotist
(Licence: TX 103)
Enumeration Date
2012-07-12
Last Update Date
2012-07-12
Business Address
Mr. LEVON RAY CRUCE CP BOCPO
2473 MCFADDIN ST
BEAUMONT, TX 77702-1921
Phone number: 337-244-3011
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Mailing Address
Mr. LEVON RAY CRUCE CP BOCPO
2473 MCFADDIN ST
BEAUMONT, TX 77702-1921
Phone number: 337-244-3011
Copy
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