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1053014159
SMART NWACHUKWU
DESOTO, TX
NPI
1053014159
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX 2022058471)
Enumeration Date
2023-03-27
Last Update Date
2023-03-27
Business Address
SMART NWACHUKWU
341 CRYSTAL LAKE DR
DESOTO, TX 75115-3798
Phone number: 214-872-0280
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Mailing Address
SMART NWACHUKWU
341 CRYSTAL LAKE DR
DESOTO, TX 75115-3798
Phone number: 214-872-0280
Copy
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