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Individual

DAVID MAYFIELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1105 WESTWOOD LN, GIDDINGS, TX 78942-9313
(309) 414-0020
Mailing address
1105 WESTWOOD LN, GIDDINGS, TX 78942-9313
(309) 414-0020

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212340
TX

Other

Enumeration date
06/23/2021
Last updated
06/23/2021
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