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1740808070
KETAMINE CLINIC OF WEST TEXAS
MIDLAND, TX
NPI
1740808070
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Entity Type
Organization
Authorized Contact
TAMARA LYNN VAUGHT
Owner
432-352-2865
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2020-07-13
Last Update Date
2020-07-13
Business Address
KETAMINE CLINIC OF WEST TEXAS
5105 SUNMORE CIR STE A
MIDLAND, TX 79707-5197
Phone number: 432-352-2865
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Mailing Address
KETAMINE CLINIC OF WEST TEXAS
5105 SUNMORE CIR STE A
MIDLAND, TX 79707-5197
Phone number: 432-352-2865
Copy
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