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Individual

GAYLE A LEBON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
5 GROGANS PARK DR, #103, THE WOODLANDS, TX 77380-2189
(281) 364-1496
(281) 364-1489
Mailing address
5 GROGANS PARK DR, #103, THE WOODLANDS, TX 77380-2189
(281) 364-1496
(281) 364-1489

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5929
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2045859
AETNA
01
603673
BC/BS
TX
Enumeration date
08/31/2005
Last updated
06/16/2009
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