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Gender: M

Race: C

Birth Date: 01/05/1928

Death Date: 01/24/1969

Place of Birth: Wann, OK

Year Medical License Issued: 1952

Medical School: Kansas City College of Osteopathy

Medical School Location: MO

Degree: DO

Graduation Date: 1952

References:

Certified by TX Board?: Y

Location: Houston

Specialty:

Secondary Specialty:

Notes: