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Organization

TODAY'S FIRST CHOICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PEARL ODY ANUSIM (PROGRAM MANAGER)
(682) 552-3868
Entity
Organization

Contact information

Practice address
1902 HAMPSHIRE ST, GRAND PRAIRIE, TX 75050-6312
(682) 552-3868
(866) 557-9526
Mailing address
1902 HAMPSHIRE ST, GRAND PRAIRIE, TX 75050-6312
(682) 552-3868
(866) 557-9526

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary

Other

Enumeration date
03/28/2014
Last updated
03/28/2014
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