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Individual

MARIAH ABERCROMBIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
801 W IRVING BLVD, IRVING, TX 75060-2845
(682) 231-0007
Mailing address
540 BUCKINGHAM RD APT 1414, RICHARDSON, TX 75081-5697
(469) 494-0395

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Enumeration date
12/02/2021
Last updated
12/02/2021
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