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Organization
THE KINGDOM WELLNESS GROUP
Active
Organization
THE KINGDOM WELLNESS GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESHAWN HARRIS NURSE PRACTITIONER (PROVIDER)
(313) 810-2948
Entity
Organization
Contact information
Practice address
6148 LITTLE CREEK CT, DAYTON, OH 45424-1321
(313) 810-2948
Mailing address
6148 LITTLE CREEK CT, DAYTON, OH 45424-1321
(313) 810-2948
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/12/2026
Last updated
01/12/2026
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