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1356772206
PERITUS MEDICAL GROUP, LLC
DALLAS, TX
NPI
1356772206
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Entity Type
Organization
Authorized Contact
LARRY J BRAYTON
CFO
972-588-1050
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2013-12-03
Last Update Date
2014-07-18
Business Address
PERITUS MEDICAL GROUP, LLC
9301 N CENTRAL EXPY # 345
DALLAS, TX 75231-0806
Phone number: 972-408-2777
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Mailing Address
PERITUS MEDICAL GROUP, LLC
17111 PRESTON RD STE 100
DALLAS, TX 75248-1234
Phone number: 972-588-1050
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