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1083389662
MISPA EWUBE NKONGHO
GRAND PRAIRIE, TX
NPI
1083389662
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX 1050549)
Enumeration Date
2021-08-15
Last Update Date
2023-10-17
Business Address
MISPA EWUBE NKONGHO NP
2212 BALD EAGLE WAY
GRAND PRAIRIE, TX 75052-4138
Phone number: 214-900-2529
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Mailing Address
MISPA EWUBE NKONGHO NP
2212 BALD EAGLE WAY
GRAND PRAIRIE, TX 75052-4138
Phone number: 214-900-2529
Copy
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