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Organization
GLOW LAND COMPANY, LLC
Active
Organization
GLOW LAND COMPANY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YUNIER MENDEZ PUPO (ADMINISTRATOR)
(469) 248-0090
Entity
Organization
Contact information
Practice address
1618 S BUCKNER BLVD, DALLAS, TX 75217-1707
(469) 248-0090
(214) 930-1084
Mailing address
1618 S BUCKNER BLVD, DALLAS, TX 75217-1707
(469) 248-0090
(214) 930-1084
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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