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Organization

DEBRA'S CROWN

Active
Other names
Debra's Crown
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JAMELA LOVE (CCO)
(214) 718-2528
Entity
Organization

Contact information

Practice address
625 CIMARRON TRACE, GRAND PRAIRIE, TX 75051
(214) 718-2528
Mailing address
539 W COMMERCE ST # 6571, DALLAS, TX 75208-1953
(214) 718-2528

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
05/30/2025
Last updated
05/30/2025
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