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Organization

XI WAVE CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KOJO XI SHABAZZ NPD (ABORIGINAL NATUROPATH DOCTOR)
(580) 475-1399
Entity
Organization

Contact information

Practice address
2152 STEER CREEK PL, MESQUITE, TX 75149-3135
(580) 475-1399
Mailing address
2152 STEER CREEK PL, MESQUITE, TX 75149-3135
(405) 615-9849

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Enumeration date
09/03/2024
Last updated
09/03/2024
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