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1114536364
GLORIA OLUCHI IKONNE
CARROLLTON, TX
NPI
1114536364
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP146154)
Enumeration Date
2020-07-23
Last Update Date
2020-07-23
Business Address
GLORIA OLUCHI IKONNE
1001 EAST HEBRON PKWY SUITE 118-297
CARROLLTON, TX 75010-1015
Phone number: 469-381-9070
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Mailing Address
GLORIA OLUCHI IKONNE
4620 RIDGE LN
CARROLLTON, TX 75010-1210
Phone number: 469-381-9070
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