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1689867368
DO NOT USE
DALLAS, TX
NPI
1689867368
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Entity Type
Organization
Authorized Contact
JODI KRUSELY
Account Manager
847-838-3832
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2007-08-24
Last Update Date
2008-01-31
Business Address
DO NOT USE
912 W 12TH ST
DALLAS, TX 75208-6005
Phone number: 214-946-6400
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Mailing Address
DO NOT USE
1231 GREENWAY DR SUITE 120
IRVING, TX 75038-2533
Phone number: 972-580-7700
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