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1104582006
FREDRICK ODONGO
ARLINGTON, TX
NPI
1104582006
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX 1051796)
Enumeration Date
2021-11-15
Last Update Date
2021-11-15
Business Address
FREDRICK ODONGO
715 N FIELDER RD
ARLINGTON, TX 76012-4695
Phone number: 817-962-0409
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Mailing Address
FREDRICK ODONGO
8206 ITHACA DR
ARLINGTON, TX 76002-4423
Phone number: 817-412-3406
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