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Organization
SOUTHERN BELLE GROUP INC
Active
Organization
SOUTHERN BELLE GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON NORDSTROM (CEO)
(214) 937-1154
Entity
Organization
Contact information
Practice address
9304 FOREST LN, DALLAS, TX 75243-6238
(214) 937-1154
Mailing address
9304 FOREST LN, DALLAS, TX 75243-6238
(214) 937-1154
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L9399
TX
Other
Enumeration date
11/11/2010
Last updated
11/15/2010
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