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Gender: M

Race:

Birth Date: 09/19/1918

Death Date: 08/19/1973

Place of Birth: Hot Springs, AR

Year Medical License Issued: 1973

Medical School: University of Tennessee, Memphis

Medical School Location: TN

Degree: MD

Graduation Date: 1973

References:

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Certified by TX Board?: Y

Location: Temple

Specialty: Internal Medicine

Secondary Specialty:

Notes: