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1649823006
JAKE RODDIE MALONE
LUBBOCK, TX
NPI
1649823006
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: TX 35354)
Enumeration Date
2019-07-24
Last Update Date
2020-06-16
Business Address
JAKE RODDIE MALONE DDS
4215 85TH ST
LUBBOCK, TX 79423-1931
Phone number: 806-794-1131
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Mailing Address
JAKE RODDIE MALONE DDS
4215 85TH ST
LUBBOCK, TX 79423-1931
Phone number: 432-413-0314
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