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Organization
RY JAY Z LLC
Active
Organization
RY JAY Z LLC
Active
Other names
DIVERSE CARE CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN ZEESTRATEN (OWNER)
(903) 308-4336
Entity
Organization
Contact information
Practice address
3415 NORTH HERITAGE PARKWAY, SHERMAN, TX 75092-6634
(903) 308-4336
Mailing address
3415 NORTH HERITAGE PARKWAY, SHERMAN, TX 75092-6634
(903) 308-4336
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
05/07/2019
Last updated
05/07/2019
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