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Individual

MR. STEVEN LEE GAINES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
410 E DRANE AVE, CORSICANA, TX 75110-1422
(903) 872-2596
(903) 872-2596
Mailing address
410 E DRANE AVE, CORSICANA, TX 75110-1422
(903) 872-2596
(903) 872-2596

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
14127
TX

Other

Enumeration date
01/28/2007
Last updated
07/09/2007
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