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Organization

DIVINE INJURY CLINIC & REHAB, P.C.

Active
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Organization

DIVINE INJURY CLINIC & REHAB, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. OGECHI GUINNESS-OHAZURUIKE D.C. (DOCTOR OF CHIROPRACTIC)
(972) 279-0644
Entity
Organization

Contact information

Practice address
3220 GUS THOMASSON RD, SUITE 233, MESQUITE, TX 75150-4057
(972) 279-0644
(972) 279-0655
Mailing address
3220 GUS THOMASSON RD, SUITE 233, MESQUITE, TX 75150-4057
(972) 279-0644
(972) 279-0655

Taxonomy

Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
10276
TX
305S00000X
Point of Service
Primary
10276
TX

Other

Enumeration date
05/22/2007
Last updated
11/04/2009
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