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Organization
SURREAL BREATHING LLC
Active
Organization
SURREAL BREATHING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY-LOUISE MULCAHY RN, MBA, BSN (ADMINISTRATOR)
(480) 357-3904
Entity
Organization
Contact information
Practice address
595 ORLEANS ST, SUITE 822A, BEAUMONT, TX 77701-3214
(409) 543-1942
(480) 718-8220
Mailing address
9221 E BASELINE RD, SUITE A109-617, MESA, AZ 85209-8310
(480) 357-3904
(480) 357-4639
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
02/27/2007
Last updated
08/24/2008
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