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Gender: M

Race: B

Birth Date: 06/20/1922

Death Date: 08/07/1966

Place of Birth: Wichita, KS

Year Medical License Issued: 1949

Medical School: Meharry Medical College, Nashville

Medical School Location: TN

Degree: MD

Graduation Date: 1947

References: Photo destroyed by water.

Certified by TX Board?: Y

Location:

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