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1700836335
ALLEN TRACY GRISSON
NACOGDOCHES, TX
NPI
1700836335
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology Diagnostic Radiology
(Licence: TX K3580)
Enumeration Date
2006-05-12
Last Update Date
2011-12-20
Business Address
ALLEN TRACY GRISSON M.D.
1204 N MOUND ST RADIOLOGY DEPARTMENT
NACOGDOCHES, TX 75961-4027
Phone number: 936-568-8514
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Mailing Address
ALLEN TRACY GRISSON M.D.
PO BOX 5370
LONGVIEW, TX 75608-5370
Phone number: 903-663-4800
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