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1780818112
ETHAN BERNELL DALLEY
LUBBOCK, TX
NPI
1780818112
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2081P2900X Physical Medicine & Rehabilitation, Pain Medicine
(Licence: TX P9063)
Enumeration Date
2009-05-13
Last Update Date
2022-07-21
Business Address
Dr. ETHAN BERNELL DALLEY M.D.
3419 22ND ST
LUBBOCK, TX 79410
Phone number: 806-796-3000
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Mailing Address
Dr. ETHAN BERNELL DALLEY M.D.
3419 22ND ST
LUBBOCK, TX 79410-1334
Phone number: 806-796-3000
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