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1790005163
DIVINE SPINE WELLNESS CLINIC
MCKINNEY, TX
NPI
1790005163
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Entity Type
Organization
Authorized Contact
SHUKURA LEO
Owner
972-548-0388
Organization Subpart ?
No
Primary Taxonomy
111N00000X Chiropractor
Enumeration Date
2010-06-08
Last Update Date
2010-07-06
Business Address
DIVINE SPINE WELLNESS CLINIC
2530 W ELDORADO PKWY SUITE 120
MCKINNEY, TX 75070-4398
Phone number: 972-548-0388
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Mailing Address
DIVINE SPINE WELLNESS CLINIC
5116 BLACKELM DR
MCKINNEY, TX 75071-6271
Phone number: 972-548-0388
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