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CLAUDE LYMAN WEIDOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
IDMT

Contact information

Practice address
939 MISSILE RD, STE 3, SHEPPARD AFB, TX 76311-2263
(940) 676-6574
(940) 676-6922
Mailing address
939 MISSILE RD,, STE 3, WICHITA FALLS, TX 76311
(940) 676-6574
(940) 676-6922

Taxonomy

Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary

Other

Enumeration date
05/05/2009
Last updated
05/05/2009
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