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1104607134
ALICE W KOINANGE
EULESS, TX
NPI
1104607134
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX 1138387)
Enumeration Date
2023-10-05
Last Update Date
2024-08-07
Business Address
Mrs. ALICE W KOINANGE PMHNP-BC
350 WESTPARK WAY STE 223
EULESS, TX 76040-3758
Phone number: 410-805-5825
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Mailing Address
Mrs. ALICE W KOINANGE PMHNP-BC
350 WESTPARK WAY STE 223
EULESS, TX 76040-3758
Phone number: 410-805-5825
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