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1346629094
GRADA BERRY
ARLINGTON, TX
NPI
1346629094
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171000000X Military Health Care Provider
(Licence: TX 016187)
Enumeration Date
2015-05-28
Last Update Date
2015-05-28
Business Address
-- GRADA BERRY
2520 HEATHER BROOK LN APT 804
ARLINGTON, TX 76006-5177
Phone number: 817-633-0383
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Mailing Address
-- GRADA BERRY
PO BOX 540574
GRAND PRAIRIE, TX 75054-0574
Phone number: 817-633-0383
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