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Organization
OMNIWELL, LLC
Active
Organization
OMNIWELL, LLC
Active
Other names
Optimal Spine Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE WESLEY JENSEN D.C. (CHIROPRACTOR)
(913) 439-9645
Entity
Organization
Contact information
Practice address
7713 SAN JACINTO PL, SUITE 100, PLANO, TX 75024-3215
(913) 439-9645
Mailing address
7713 SAN JACINTO PL, SUITE 100, PLANO, TX 75024-3215
(913) 439-9645
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
133V00000X
Registered Dietitian
—
—
Other
Enumeration date
10/02/2014
Last updated
10/02/2014
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