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1902805492
SALLY H. GOUDREAU
DALLAS, TX
NPI
1902805492
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Former Name
SALLY H. BASS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: TX H6037)
Enumeration Date
2005-07-18
Last Update Date
2017-04-11
Business Address
Dr. SALLY H. GOUDREAU M.D.
5323 HARRY HINES BLVD
DALLAS, TX 75390-7201
Phone number: 214-645-2554
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Mailing Address
Dr. SALLY H. GOUDREAU M.D.
PO BOX 845347
DALLAS, TX 75284-5347
Phone number:
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