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1255102976
KEMISOLA LYNDA EBIETOMIYE
FORT WORTH, TX
NPI
1255102976
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX 1149539)
Enumeration Date
2024-01-11
Last Update Date
2024-10-11
Business Address
KEMISOLA LYNDA EBIETOMIYE
801 7TH AVE
FORT WORTH, TX 76104-2733
Phone number: 773-621-8983
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Mailing Address
KEMISOLA LYNDA EBIETOMIYE
548 WESTWOOD WAY DR
HASLET, TX 76052-3079
Phone number: 773-621-8983
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