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1255986824
NAOMI KEMUMA OMWENO
FORT WORTH, TX
NPI
1255986824
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 333318)
Enumeration Date
2019-08-09
Last Update Date
2019-08-09
Business Address
NAOMI KEMUMA OMWENO
1314 LAKE ST
FORT WORTH, TX 76102-4581
Phone number: 817-810-0660
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Mailing Address
NAOMI KEMUMA OMWENO
1314 LAKE ST STE 101
FORT WORTH, TX 76102-4582
Phone number: 817-810-0660
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