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1356716682
RAQUEL LONG
DALLAS, TX
NPI
1356716682
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Former Name
RAQUEL BENT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
311ZA0620X Custodial Care Facility, Adult Care Home
Enumeration Date
2015-12-11
Last Update Date
2015-12-11
Business Address
-- RAQUEL LONG
210 W PEMBROKE AVE
DALLAS, TX 75208-6727
Phone number: 469-844-8424
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Mailing Address
-- RAQUEL LONG
210 W PEMBROKE AVE
DALLAS, TX 75208-6727
Phone number: 469-844-8424
Copy
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