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Individual

MR. DANNY WAYNE PELTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATP

Contact information

Practice address
36532 FM 2481, HICO, TX 76457-3313
(254) 644-0422
Mailing address
PO BOX 579, HICO, TX 76457-0579
(254) 644-0422
(254) 796-2648

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary

Other

Enumeration date
07/05/2012
Last updated
07/05/2012
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