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1043769284
MARYROSE OBIDIAKU
IRVING, TX
NPI
1043769284
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP131624)
Enumeration Date
2016-09-29
Last Update Date
2020-07-23
Business Address
MARYROSE OBIDIAKU NP
5500 N MACARTHUR BLVD
IRVING, TX 75038-2603
Phone number: 972-518-1325
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Mailing Address
MARYROSE OBIDIAKU NP
265 E CORPORATE DR APT 335
LEWISVILLE, TX 75067-6682
Phone number: 214-789-7987
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