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Individual

MRS. MARY SUE KEBBEH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1234 SLEEPY HOLLOW DR, DALLAS, TX 75235-6010
(214) 951-0800
(214) 819-3862
Mailing address
1234 SLEEPY HOLLOW DR, DALLAS, TX 75235-6010
(214) 951-0800
(214) 819-3862

Taxonomy

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

Other

Enumeration date
07/13/2007
Last updated
07/13/2007
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