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1649706227
DIVINE INTEGRITY ALLIED HEALTHCARE SERVICES
MIDLAND, TX
NPI
1649706227
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Entity Type
Organization
Authorized Contact
TAMEKA POLK
Administrator
432-889-2666
Organization Subpart ?
No
Primary Taxonomy
305R00000X Preferred Provider Organization
Enumeration Date
2017-05-03
Last Update Date
2017-05-03
Business Address
DIVINE INTEGRITY ALLIED HEALTHCARE SERVICES
4738 BEDFORD AVE
MIDLAND, TX 79703-4535
Phone number: 432-889-2666
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Mailing Address
DIVINE INTEGRITY ALLIED HEALTHCARE SERVICES
PO BOX 9732
MIDLAND, TX 79708-9732
Phone number: 432-889-2666
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