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1073940557
COLLINS O IDIEGBE
SAN ANTONIO, TX
NPI
1073940557
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: TX 751397)
Enumeration Date
2013-09-30
Last Update Date
2013-09-30
Business Address
-- COLLINS O IDIEGBE ACNP
4411 MEDICAL DR 300
SAN ANTONIO, TX 78229-3822
Phone number: 210-614-5400
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Mailing Address
-- COLLINS O IDIEGBE ACNP
4411 MEDICAL DR 300
SAN ANTONIO, TX 78229-3822
Phone number: 210-614-5400
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