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Individual

REBECCA GAINES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1755 BLUE BONNET CIR APT 3204, GARLAND, TX 75040-5342
(682) 500-9725
Mailing address
1755 BLUE BONNET CIR APT 3204, GARLAND, TX 75040-5342
(682) 500-9725

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Enumeration date
10/26/2010
Last updated
07/21/2022
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