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1073087805
KOSISOCHUKWU MORA
FORT WORTH, TX
NPI
1073087805
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA12474)
Enumeration Date
2019-01-15
Last Update Date
2019-01-15
Business Address
KOSISOCHUKWU MORA MPAS, PA-C
1617 HEMPHILL ST
FORT WORTH, TX 76104-4709
Phone number: 817-702-2450
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Mailing Address
KOSISOCHUKWU MORA MPAS, PA-C
2811 ROLLING HILLS LN
GRAND PRAIRIE, TX 75052-7076
Phone number: 214-334-8117
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