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1265966196
ADMIRABLE PROVIDER SERVICES LLC
HOUSTON, TX
NPI
1265966196
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Entity Type
Organization
Authorized Contact
CYRUS BENJAMIN WASHINGTON
Owner
832-602-6212
Organization Subpart ?
No
Primary Taxonomy
302F00000X Exclusive Provider Organization
Enumeration Date
2017-04-18
Last Update Date
2017-04-18
Business Address
ADMIRABLE PROVIDER SERVICES LLC
13202 BRIAR FOREST DR APT 4264
HOUSTON, TX 77077-2458
Phone number: 832-602-6212
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Mailing Address
ADMIRABLE PROVIDER SERVICES LLC
13202 BRIAR FOREST DR APT 4264
HOUSTON, TX 77077-2458
Phone number: 832-602-6212
Copy
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