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1740688837
CODY PAINTER
LUBBOCK, TX
NPI
1740688837
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: TX AT5919)
Enumeration Date
2014-12-05
Last Update Date
2014-12-05
Business Address
CODY PAINTER LAT
43021 6TH AND BOSTON
LUBBOCK, TX 79401
Phone number: 214-592-2486
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Mailing Address
CODY PAINTER LAT
6309 HANCOCK RD
ROWLETT, TX 75089-8251
Phone number: 214-592-2486
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