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Organization
WONACE
Active
Organization
WONACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE AKINBOBOLA FNP-C (MANAGING DIRECTOR)
(832) 877-2140
Entity
Organization
Contact information
Practice address
810 HIGHWAY 6 S STE 102, HOUSTON, TX 77079-4025
(281) 810-3123
Mailing address
810 HIGHWAY 6 S STE 102, HOUSTON, TX 77079-4025
(281) 810-3123
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
12/02/2021
Last updated
01/29/2022
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