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1083243679
LA STUPENDA
AUSTIN, TX
NPI
1083243679
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Entity Type
Organization
Authorized Contact
KAZEEM SEYI OLADIPO
Head Of Agency
832-466-8493
Organization Subpart ?
No
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2020-04-06
Last Update Date
2020-04-06
Business Address
LA STUPENDA
12403 MELLOW MEADOW DR APT 8108
AUSTIN, TX 78750-1957
Phone number: 832-466-8493
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Mailing Address
LA STUPENDA
12403 MELLOW MEADOW DR APT 8108
AUSTIN, TX 78750-1957
Phone number: 832-466-8493
Copy
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