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1174280283
PROSPERA HEALTHCARE ABA LLC
FLOWER MOUND, TX
NPI
1174280283
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Entity Type
Organization
Authorized Contact
KYLE CODDINGTON
COO
972-400-1983
Organization Subpart ?
No
Primary Taxonomy
251S00000X
Enumeration Date
2021-11-23
Last Update Date
2021-11-23
Business Address
PROSPERA HEALTHCARE ABA LLC
5200 SADDLE DR
FLOWER MOUND, TX 75028-6011
Phone number: 972-900-2488
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Mailing Address
PROSPERA HEALTHCARE ABA LLC
5200 SADDLE DR
FLOWER MOUND, TX 75028-6011
Phone number: 972-900-2488
Copy
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