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1962085928
JOHN RUSSELL BEBEAU
TEMPLE, TX
NPI
1962085928
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-04-28
Last Update Date
2021-04-28
Business Address
JOHN RUSSELL BEBEAU DO
2401 S 31ST ST # MS -M2663
TEMPLE, TX 76508-0001
Phone number: 254-771-8411
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Mailing Address
JOHN RUSSELL BEBEAU DO
2401 S 31ST ST # MS -M2663
TEMPLE, TX 76508-0001
Phone number: 254-771-8411
Copy
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