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Individual

COY PARIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
7614 BAYLOR ST, LUBBOCK, TX 79416-9661
(806) 866-9186
Mailing address
7614 BAYLOR ST, LUBBOCK, TX 79416-9661

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Enumeration date
06/23/2015
Last updated
06/23/2015
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