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Individual

MS. DEBORAH DENISE JENNINGS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
619 WENTWORTH DRIVE, RICHARDSON, TX 75081-5623
(972) 699-1754
Mailing address
619 WENTWORTH DRIVE, RICHARDSON, TX 75081-5623
(972) 699-1754

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
120746
TX

Other

Enumeration date
01/22/2008
Last updated
01/22/2008
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