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1144950585
THEDA EDWARDS-LABOME
MISSOURI CITY, TX
NPI
1144950585
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: TX 0000000000)
Enumeration Date
2022-06-16
Last Update Date
2022-06-16
Business Address
THEDA EDWARDS-LABOME OWNER/BILLER/CODER
15402 BLUERIDGE CT
MISSOURI CITY, TX 77489-2606
Phone number: 832-398-2707
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Mailing Address
THEDA EDWARDS-LABOME OWNER/BILLER/CODER
PO BOX 1404
MISSOURI CITY, TX 77459-1404
Phone number: 832-398-2707
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