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Ebonique Manning
NPI 1992231286 · on the registry since 2017 · sole proprietor
Practice
- Address
- 2445 Miller St
Grand Prairie, TX 75051 - Phone
- (254) 541-8099
Registry record
- Primary taxonomy
- 347B00000X
347B00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-05-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas