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Organization
STRIPLING CLINIC LLC
Active
Organization
STRIPLING CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA C HAYNES (MANAGER)
(903) 586-2278
Entity
Organization
Contact information
Practice address
555 S JACKSON ST, JACKSONVILLE, TX 75766-2414
(903) 586-2788
Mailing address
555 S JACKSON ST, JACKSONVILLE, TX 75766-2414
(903) 586-2788
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
193200000X
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
188068402
—
TX
Enumeration date
05/07/2007
Last updated
03/25/2009
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