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1669857330
WISCONSIN OUTPATIENT SERVICES SC
DALLAS, TX
NPI
1669857330
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Entity Type
Organization
Authorized Contact
EDWARD STONE
President
214-712-2815
Organization Subpart ?
No
Primary Taxonomy
302R00000X Health Maintenance Organization
Enumeration Date
2015-07-23
Last Update Date
2015-07-23
Business Address
WISCONSIN OUTPATIENT SERVICES SC
13737 NOEL RD
DALLAS, TX 75240-1331
Phone number: 214-712-2815
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Mailing Address
WISCONSIN OUTPATIENT SERVICES SC
13737 NOEL RD
DALLAS, TX 75240-1331
Phone number: 214-712-2815
Copy
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