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1689448151
DEDRA SHATIA STUKES
DALLAS, TX
NPI
1689448151
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
291U00000X Clinical Medical Laboratory
Enumeration Date
2023-11-14
Last Update Date
2023-11-14
Business Address
DEDRA SHATIA STUKES
100 N HENDERSON AVE APT 201
DALLAS, TX 75214
Phone number: 833-336-6002
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Mailing Address
DEDRA SHATIA STUKES
539 W COMMERCE ST # 4922
DALLAS, TX 75208-1953
Phone number: 833-336-6002
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