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1114420338
MARYGORRETH SAMANYA SSENTAMU
FORT WORTH, TX
NPI
1114420338
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 225371)
Enumeration Date
2018-03-14
Last Update Date
2018-03-14
Business Address
Mrs. MARYGORRETH SAMANYA SSENTAMU
5183 MEADOW CT
FORT WORTH, TX 76112-3865
Phone number: 682-429-8898
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Mailing Address
Mrs. MARYGORRETH SAMANYA SSENTAMU
5183 MEADOW CT
FORT WORTH, TX 76112-3865
Phone number: 682-429-8898
Copy
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