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1891055687
GARY BLAINE GREEN
LUBBOCK, TX
NPI
1891055687
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
237700000X Hearing Instrument Specialist
(Licence: NM T0797)
Enumeration Date
2012-05-25
Last Update Date
2012-06-25
Business Address
-- GARY BLAINE GREEN
5303 50TH ST
LUBBOCK, TX 79414-5823
Phone number: 806-799-8950
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Mailing Address
-- GARY BLAINE GREEN
5303 50TH ST
LUBBOCK, TX 79414-5823
Phone number: 806-799-8950
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