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1093016826
WACO FUNCTIONAL MEDICINE, PA
WACO, TX
NPI
1093016826
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Entity Type
Organization
Authorized Contact
LISA J KIRK
Owner
254-776-8009
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TX K3775)
Enumeration Date
2010-11-10
Last Update Date
2010-11-10
Business Address
WACO FUNCTIONAL MEDICINE, PA
318 RICHLAND WEST CIR STE B
WACO, TX 76712-7919
Phone number: 254-776-8009
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Mailing Address
WACO FUNCTIONAL MEDICINE, PA
318 RICHLAND WEST CIR STE B
WACO, TX 76712-7919
Phone number: 254-776-8009
Copy
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