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Individual

TONI DAVIS MANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AUD CCC A

Contact information

Practice address
4505 82ND STREET, SUITE 8, LUBBOCK, TX 79424-3219
(806) 798-3600
(806) 798-3601
Mailing address
4505 82ND STREET, SUITE 8, LUBBOCK, TX 79424-3219
(806) 798-3600
(806) 798-3601

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
50735
TX
237600000X
Audiologist-Hearing Aid Fitter
Primary
3398
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
022447901
TX
01
102313100
FIRST CARE LIFE & HEALTH
TX
01
80247A
BCBS
TX
Enumeration date
07/28/2006
Last updated
05/02/2012
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