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1952725897
DANELLE BLACK
DALLAS, TX
NPI
1952725897
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
302F00000X Exclusive Provider Organization
(Licence: MS 101592)
Enumeration Date
2014-02-12
Last Update Date
2014-02-12
Business Address
-- DANELLE BLACK RTR, ARDMS
9441 LBJ FWY SUITE 602
DALLAS, TX 75243-4545
Phone number: 469-249-1887
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Mailing Address
-- DANELLE BLACK RTR, ARDMS
9441 LBJ FWY SUITE 602
DALLAS, TX 75243-4545
Phone number: 469-249-1887
Copy
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