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Organization
DENEBOLA TR
Active
Organization
DENEBOLA TR
Active
Other names
Med Ex Pro Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
BEAU VAN MORRISON (OWNER)
(866) 954-1583
Entity
Organization
Contact information
Practice address
2225 NE 14TH AVE, WILTON MANORS, FL 33305-2305
(763) 843-4433
Mailing address
15500 VOSS RD # 1079, SUGAR LAND, TX 77498-4601
(866) 954-1583
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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