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1659133734
ETHEREAL EMPIRE LLC
EULESS, TX
NPI
1659133734
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Entity Type
Organization
Authorized Contact
KHATIRA ALI
CEO
817-785-9479
Organization Subpart ?
No
Primary Taxonomy
332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date
2024-01-25
Last Update Date
2024-01-25
Business Address
ETHEREAL EMPIRE LLC
1501 PERDIDO DR
EULESS, TX 76039-1415
Phone number: 817-785-9479
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Mailing Address
ETHEREAL EMPIRE LLC
1501 PERDIDO DR
EULESS, TX 76039-1415
Phone number: 817-785-9479
Copy
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