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Organization
WHACKY WOLVERINE INC
Active
Organization
WHACKY WOLVERINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALI MEHBOOB (CEO)
(346) 392-3277
Entity
Organization
Contact information
Practice address
10350 LANDS END DR APT 1801, HOUSTON, TX 77099-3426
(346) 392-3277
Mailing address
10350 LANDS END DR APT 1801, HOUSTON, TX 77099-3426
(346) 392-3277
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
02/23/2024
Last updated
02/23/2024
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