Individual
MR. CLINTON DALE DEBORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH.
Contact information
Practice address
1607 LIVE OAK ST, COMMERCE, TX 75428-2549
(903) 886-8888
(903) 886-1088
Mailing address
1607 LIVE OAK ST, COMMERCE, TX 75428-2549
(903) 886-8888
(903) 886-1088
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
33767
TX
Other
Enumeration date
08/01/2017
Last updated
07/21/2022
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