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Organization

IT'S MAGIC MOMENTS LINGERIE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ROSSLAND RESHELL DAWN-DARNELL LVN (OWNER/ OPERATOR)
(469) 685-5577
Entity
Organization

Contact information

Practice address
231 E BELT LINE RD, BLDG. 2, SUITE 5, DESOTO, TX 75115-5776
(469) 685-5577
Mailing address
500 ROLLING HILLS PL, APT. 2006, LANCASTER, TX 75146-1027
(469) 685-5577

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Enumeration date
04/10/2012
Last updated
04/10/2012
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