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Organization
LUBBOCK INTEGRATIVE MEDICINE
Active
Organization
LUBBOCK INTEGRATIVE MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL BLAKE GAFFORD II LAC, MACOM (OWNER OF LUBBOCK INTEGRATIVE MEDICI)
(806) 797-7653
Entity
Organization
Contact information
Practice address
3711 20TH ST, SUITE B, LUBBOCK, TX 79410-1223
(806) 797-7653
Mailing address
3711 20TH ST, SUITE B, LUBBOCK, TX 79410-1223
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
TX01569
TX
Other
Enumeration date
02/02/2015
Last updated
02/02/2015
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