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1013340520
MODESTA OBIAGELI ONYIA
GEORGETOWN, TX
NPI
1013340520
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 679518)
Enumeration Date
2013-08-20
Last Update Date
2013-08-20
Business Address
-- MODESTA OBIAGELI ONYIA FNP
205 E UNIVERSITY AVE SUITE 157
GEORGETOWN, TX 78626-6814
Phone number: 512-868-9078
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Mailing Address
-- MODESTA OBIAGELI ONYIA FNP
1913 MESA CT
GARLAND, TX 75040-8289
Phone number: 214-629-9639
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