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1508293382
MODOMA MEDMASSAGE, LLC
FRISCO, TX
NPI
1508293382
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Entity Type
Organization
Authorized Contact
DAKOTA BLACK HAWKE
Director Of Operations & Finance
469-213-2762
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2013-10-10
Last Update Date
2017-02-13
Business Address
MODOMA MEDMASSAGE, LLC
4944 PRESTON RD STE 100A
FRISCO, TX 75034-8597
Phone number: 469-213-2762
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Mailing Address
MODOMA MEDMASSAGE, LLC
4944 PRESTON RD STE 100A
FRISCO, TX 75034-8597
Phone number: 469-213-2762
Copy
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