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1548939036
KQ NEURO TEAM
FORT WORTH, TX
NPI
1548939036
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Entity Type
Organization
Authorized Contact
TRACIE SIMPSON
Agent/Owner
817-841-0829
Organization Subpart ?
No
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2021-09-08
Last Update Date
2021-09-08
Business Address
KQ NEURO TEAM
1105 S CHICAGO AVE
FORT WORTH, TX 76105-1712
Phone number: 817-841-0829
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Mailing Address
KQ NEURO TEAM
1105 S CHICAGO AVE
FORT WORTH, TX 76105-1712
Phone number: 817-841-0829
Copy
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