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1679514632
LIFE SPAN MEDICINE PA
DALLAS, TX
NPI
1679514632
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Entity Type
Organization
Authorized Contact
GINA RENNA
CEO
214-303-1888
Organization Subpart ?
No
Primary Taxonomy
208D00000X General Practice
Enumeration Date
2006-06-09
Last Update Date
2010-04-07
Business Address
LIFE SPAN MEDICINE PA
2706 FAIRMONT STREET
DALLAS, TX 75201
Phone number: 214-303-1888
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Mailing Address
LIFE SPAN MEDICINE PA
2706 FAIRMONT STREET
DALLAS, TX 75201
Phone number:
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