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1295197630
OPTIMED HEALTHCARE CLINIC LLC
ROWLETT, TX
NPI
1295197630
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Entity Type
Organization
Authorized Contact
ANITA CHACKO
Owner
214-205-2792
Organization Subpart ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
Enumeration Date
2016-03-24
Last Update Date
2016-03-24
Business Address
OPTIMED HEALTHCARE CLINIC LLC
6321 SAN MARINO DR
ROWLETT, TX 75089-4534
Phone number: 214-205-2792
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Mailing Address
OPTIMED HEALTHCARE CLINIC LLC
6321 SAN MARINO DR
ROWLETT, TX 75089-4534
Phone number:
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