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1114746849
PRESTIGE VINTAGE CARE
HUMBLE, TX
NPI
1114746849
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Entity Type
Organization
Authorized Contact
SHOSHANNA LYNN OMOBOSOYE
Owner/Administrator
713-491-0991
Organization Subpart ?
No
Primary Taxonomy
163W00000X Registered Nurse
Enumeration Date
2024-10-09
Last Update Date
2024-10-10
Business Address
PRESTIGE VINTAGE CARE
4111 GREAT FOREST CT
HUMBLE, TX 77346-2489
Phone number: 713-269-5345
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Mailing Address
PRESTIGE VINTAGE CARE
4111 GREAT FOREST CT
HUMBLE, TX 77346-2489
Phone number: 713-269-5345
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