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Organization
ONEDAYRIDER
Active
Organization
ONEDAYRIDER
Active
Parent organization
KIBONGE BALEKE
Other names
kibonge baleke
Organization subpart
Yes
Provider details
NPI number
Legal business name
KIBONGE BALEKE
Authorized official
MR. KIBONGE BALEKE IV MD (ADMIN)
(817) 450-0048
Entity
Organization
Contact information
Practice address
8665 LAS VEGAS CT APT 3020, FORT WORTH, TX 76116-0057
(817) 450-0048
Mailing address
8665 LAS VEGAS CT APT 3020, FORT WORTH, TX 76116-0057
(817) 450-0048
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/19/2025
Last updated
09/19/2025
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