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1952582371
DO NOT USE
PLANO, TX
NPI
1952582371
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Entity Type
Organization
Authorized Contact
JODI KRUSELY
Account Manager
847-838-3832
Organization Subpart ?
No
Primary Taxonomy
261QP2300X Clinic/Center, Primary Care
Enumeration Date
2007-11-15
Last Update Date
2008-01-31
Business Address
DO NOT USE
3320 AVENUE K
PLANO, TX 75074-2306
Phone number: 972-423-7174
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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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