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Organization
THE GRACE OF THE DIVINE HEALING & WELLNESS CENTER
Active
Organization
THE GRACE OF THE DIVINE HEALING & WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RITA CORONA M.D. (PHYSICIAN)
(806) 778-0764
Entity
Organization
Contact information
Practice address
4009 19TH ST, SUITE E, LUBBOCK, TX 79410-1003
(806) 778-0764
Mailing address
4009 19TH ST, SUITE E, LUBBOCK, TX 79410-1003
(806) 778-0764
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
P1536
TX
Other
Enumeration date
05/15/2013
Last updated
05/15/2013
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