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1285214072
OLIVES ESCAPE
LONGVIEW, TX
NPI
1285214072
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Entity Type
Organization
Authorized Contact
TOLESIA DAVIS
Billing Manager
903-742-9416
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2021-04-14
Last Update Date
2021-04-14
Business Address
OLIVES ESCAPE
414 E LOOP 281 STE 16&17
LONGVIEW, TX 75605-7930
Phone number: 903-445-2942
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Mailing Address
OLIVES ESCAPE
414 E LOOP 281 STE 16&17
LONGVIEW, TX 75605-7930
Phone number: 903-445-2942
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