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Individual

MR. DAVID ALAN LIGHT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CPO, LPO

Contact information

Practice address
20 HOWARD ST, SUITE 7, SAN ANGELO, TX 76901-3179
(325) 227-8183
(325) 949-0994
Mailing address
20 HOWARD ST, SUITE 7, SAN ANGELO, TX 76901-3179
(325) 227-8183
(325) 944-0994

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
1152
TX
224P00000X
Prosthetist
1152
TX

Other

Enumeration date
12/01/2006
Last updated
04/13/2012
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