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1154966315
SOUTHWEST SPINE WAVES LLC
FT WORTH, TX
NPI
1154966315
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Entity Type
Organization
Authorized Contact
GINA SULLIVAN
Billing Manager
817-529-8488
Organization Subpart ?
No
Primary Taxonomy
204R00000X Electrodiagnostic Medicine
Enumeration Date
2019-11-12
Last Update Date
2019-11-12
Business Address
SOUTHWEST SPINE WAVES LLC
111 BOLAND ST STE 211
FT WORTH, TX 76107-1265
Phone number: 817-529-8488
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Mailing Address
SOUTHWEST SPINE WAVES LLC
111 BOLAND ST STE 211
FT WORTH, TX 76107-1265
Phone number:
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