Individual
MR. CLARENCE M MARION JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1411 E CALHOUN AVE, TEMPLE, TX 76501-4671
(254) 534-4685
Mailing address
1411 EAST CALHOUN AVENUE, TEMPLE, TX 76501-4671
(254) 534-4685
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
02433373
TX
Other
Enumeration date
05/04/2011
Last updated
05/04/2011
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