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1952820680
EMERALD LAINE, PLLC
FORT WORTH, TX
NPI
1952820680
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Entity Type
Organization
Authorized Contact
JERI ELKINS
President
817-637-5438
Organization Subpart ?
No
Primary Taxonomy
261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date
2017-09-13
Last Update Date
2017-09-13
Business Address
EMERALD LAINE, PLLC
3836 ARUNDEL AVE
FORT WORTH, TX 76109-3542
Phone number: 817-637-5438
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Mailing Address
EMERALD LAINE, PLLC
3836 ARUNDEL AVE
FORT WORTH, TX 76109-3542
Phone number:
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