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Individual

SAM DEAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2959 DONNELL DR, ROUND ROCK, TX 78664-5709
(512) 500-6939
Mailing address
2959 DONNELL DR, ROUND ROCK, TX 78664-5709
(512) 500-6939

Taxonomy

Speciality
Code
Description
License number
State
347E00000X
Transportation Broker
Primary
TX

Other

Enumeration date
07/01/2024
Last updated
07/01/2024
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