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Organization

WMK, LLC

Active
Other names
MobilityWorks
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WILLIAM KOEBLITZ (PRESIDENT)
(234) 678-4001
Entity
Organization

Contact information

Practice address
2100 S DECATUR BLVD, LAS VEGAS, NV 89102-8505
(702) 876-9606
(702) 876-4366
Mailing address
2100 S DECATUR BLVD, LAS VEGAS, NV 89102-8505
(702) 876-9606
(702) 876-4366

Taxonomy

Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
MP00287
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100500312
NV
Enumeration date
10/23/2006
Last updated
08/23/2016
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