TY DANIEL LAUDERDALE

DALLAS, TX
NPI1972298719
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-04-07
Last Update Date2023-04-07
Business Address
TY DANIEL LAUDERDALE
3302 GASTON AVE
DALLAS, TX 75246-2013
Phone number: 214-828-8215
Mailing Address
TY DANIEL LAUDERDALE
3302 GASTON AVE
DALLAS, TX 75246-2013
Phone number: 214-828-8215
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