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1760188908
DONALD BOULDIN
LEWISVILLE, TX
NPI
1760188908
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QR0208X Clinic/Center, Radiology, Mobile
(Licence: TX GMR02006320)
Enumeration Date
2023-01-31
Last Update Date
2023-02-28
Business Address
DONALD BOULDIN Rt
1338 JUNIPER LN
LEWISVILLE, TX 75077-2838
Phone number: 214-498-9558
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Mailing Address
DONALD BOULDIN Rt
1338 JUNIPER LN
LEWISVILLE, TX 75077-2838
Phone number: 214-498-9558
Copy
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