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Gender: M

Race:

Birth Date:

Death Date: 08/22/1966

Place of Birth: ,

Year Medical License Issued: 1908

Medical School: Vanderbilt Univ. Medical School, Nashville

Medical School Location: TN

Degree: MD

Graduation Date: 1900

References:

Certified by TX Board?: Y

Location: Gunter

Specialty:

Secondary Specialty:

Notes: