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1790164234
JERRY ANDERSON
GIDDINGS, TX
NPI
1790164234
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: TX 11342)
Enumeration Date
2015-05-28
Last Update Date
2015-05-28
Business Address
-- JERRY ANDERSON Ph.D.
1067 PR 2262
GIDDINGS, TX 78942-6171
Phone number: 979-542-4572
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Mailing Address
-- JERRY ANDERSON Ph.D.
PO BOX 600
GIDDINGS, TX 78942-0600
Phone number: 979-542-4572
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