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Organization
MW WELLNESS IV, LLC
Active
Organization
MW WELLNESS IV, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDIE NONCLERC (DIRECTOR OF INSURANCE DEVELOPMENT)
(813) 228-6334
Entity
Organization
Contact information
Practice address
611 W HWY 6, SUITE 108, WACO, TX 76710-7544
(254) 741-8686
(254) 741-8687
Mailing address
611 W HWY 6, SUITE 108, WACO, TX 76710-7544
(254) 741-8686
(254) 741-8687
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/08/2017
Last updated
02/08/2017
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