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1164825261
DIANA MAHANNAH-JOHN
HOUSTON, TX
NPI
1164825261
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QM2800X Clinic/Center Methadone
(Licence: TX 76-1067155)
Enumeration Date
2014-10-02
Last Update Date
2014-10-02
Business Address
MRS. DIANA MAHANNAH-JOHN
7428 PARK PLACE BLVD
HOUSTON, TX 77087-4442
Phone number: 713-643-5858
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Mailing Address
MRS. DIANA MAHANNAH-JOHN
7428 PARK PLACE BLVD
HOUSTON, TX 77087-4442
Phone number: 713-643-5858
Copy
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