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1790417053
GWYN SRIFUENGFUNG
LUBBOCK, TX
NPI
1790417053
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: TX BP10080305)
Enumeration Date
2022-06-27
Last Update Date
2022-06-27
Business Address
GWYN SRIFUENGFUNG
3601 4TH ST RM 3A105
LUBBOCK, TX 79430-0002
Phone number: 806-743-2391
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Mailing Address
GWYN SRIFUENGFUNG
3601 4TH ST RM 3A105
LUBBOCK, TX 79430-0002
Phone number: 806-743-2391
Copy
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