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1962845768
CHANCE MICHAEL MCINNIS
TYLER, TX
NPI
1962845768
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: LA MD.207389)
Enumeration Date
2013-04-10
Last Update Date
2018-10-01
Business Address
CHANCE MICHAEL MCINNIS
8643 RADCLIFFE DR
TYLER, TX 75703-5220
Phone number: 903-539-6077
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Mailing Address
CHANCE MICHAEL MCINNIS
8643 RADCLIFFE DR
TYLER, TX 75703-5220
Phone number: 903-539-6077
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