Individual
CLARENCE DOBGIMA GWANBOBMUGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3216 E 7TH ST, LUBBOCK, TX 79403-5606
(404) 514-5633
Mailing address
3216 E 7TH ST, LUBBOCK, TX 79403-5606
(404) 514-5633
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
53835
TX
Other
Enumeration date
09/20/2014
Last updated
09/20/2014
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