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1750822805
MARK STALLS
DENTON, TX
NPI
1750822805
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
405300000X Prevention Professional
(Licence: TX ABC CPED 1094)
Enumeration Date
2017-03-08
Last Update Date
2017-03-08
Business Address
-- MARK STALLS C.Ped.
3106 SANTA MONICA DR
DENTON, TX 76205-8522
Phone number: 940-367-0641
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Mailing Address
-- MARK STALLS C.Ped.
3106 SANTA MONICA DR
DENTON, TX 76205-8522
Phone number: 940-367-0641
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