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Organization

MOJO SPORTCLINIC, LLC

Active
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Organization

MOJO SPORTCLINIC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHANNES P DUPLESSIS PT (OWNER/MANAGER)
(910) 536-5667
Entity
Organization

Contact information

Practice address
6859 MONUMENT DR, WILMINGTON, NC 28405-4178
(910) 338-5545
(910) 338-5345
Mailing address
8401 SARENSEN CT, WILMINGTON, NC 28412-3393
(910) 536-5667

Taxonomy

Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary

Other

Enumeration date
05/23/2019
Last updated
05/23/2019
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