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1679060800
BLUE STAR DERMATOLOGY PLLC
PROSPER, TX
NPI
1679060800
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Entity Type
Organization
Authorized Contact
MICHAEL CAGLIA
Owner
972-347-1100
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
Enumeration Date
2018-04-13
Last Update Date
2018-10-10
Business Address
BLUE STAR DERMATOLOGY PLLC
301 N PRESTON RD STE D
PROSPER, TX 75078-8878
Phone number: 972-347-1100
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Mailing Address
BLUE STAR DERMATOLOGY PLLC
301 N PRESTON RD STE D
PROSPER, TX 75078-8878
Phone number: 972-347-1100
Copy
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