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1265262703
MIA MICHELLE LLC
DALLAS, TX
NPI
1265262703
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Entity Type
Organization
Authorized Contact
TARA FROST
Owner/Provider
512-785-6391
Organization Subpart ?
No
Primary Taxonomy
207L00000X Anesthesiology
Enumeration Date
2024-08-07
Last Update Date
2024-08-07
Business Address
MIA MICHELLE LLC
7115 GREENVILLE AVE
DALLAS, TX 75231-5100
Phone number: 214-647-5300
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Mailing Address
MIA MICHELLE LLC
PO BOX 1889
MUNCIE, IN 47308-1889
Phone number: 765-284-0493
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