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1164032975
JACQUELINE MBUAGBAW FOSAH
HOUSTON, TX
NPI
1164032975
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX AP145962)
Enumeration Date
2020-08-06
Last Update Date
2020-08-06
Business Address
JACQUELINE MBUAGBAW FOSAH
1504 BEN TAUB LOOP
HOUSTON, TX 77030
Phone number: 712-873-2000
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Mailing Address
JACQUELINE MBUAGBAW FOSAH
5635 W HARROW DR
HOUSTON, TX 77084-1869
Phone number: 651-398-2927
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