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1437627536
STELLA MONGINA KEBASO
DALLAS, TX
NPI
1437627536
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology Psychiatry
(Licence: TX AP135563)
Enumeration Date
2018-11-06
Last Update Date
2018-11-06
Business Address
STELLA MONGINA KEBASO
5200 HARRY HINES BLVD
DALLAS, TX 75235-7709
Phone number: 214-590-8000
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Mailing Address
STELLA MONGINA KEBASO
8621 VANDERBILT DR APT 2802
FORT WORTH, TX 76120-4963
Phone number:
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