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Organization

GDI VENTURE, INC

Active
Other names
Wellspring Chiropractic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DEAN CRAIG WASSON D.C., NM-APC (OWNER)
(505) 933-8600
Entity
Organization

Contact information

Practice address
1511 GOLF COURSE RD SE, STE. C, RIO RANCHO, NM 87124-1956
(505) 933-8600
(505) 933-8601
Mailing address
1511 GOLF COURSE RD SE, STE. C, RIO RANCHO, NM 87124-1956
(505) 933-8600
(505) 933-8601

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1664
NM

Other

Enumeration date
10/02/2014
Last updated
10/02/2014
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