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Individual

MICHAEL JOE GENTRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LVN

Contact information

Practice address
5899 HWY 80 EAST, BUILDING A SUITE 3, LONGVIEW, TX 75605
(903) 203-7922
(903) 660-5131
Mailing address
133 SADDLE BROOK CIR, HALLSVILLE, TX 75650-7722
(903) 203-7922

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1003219
TX

Other

Enumeration date
06/30/2023
Last updated
09/21/2023
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