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1053906230
ITORO COSMAS ETIM
DALLAS, TX
NPI
1053906230
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 1021444)
Enumeration Date
2021-03-09
Last Update Date
2021-03-09
Business Address
ITORO COSMAS ETIM
13601 PRESTON RD STE 210W
DALLAS, TX 75240-4986
Phone number: 972-702-0300
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Mailing Address
ITORO COSMAS ETIM
13601 PRESTON RD STE 210W
DALLAS, TX 75240-4986
Phone number:
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