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1265958110
MISIDA GWANYEBIT-FODJE
HOUSTON, TX
NPI
1265958110
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: TX AP133843)
Enumeration Date
2017-08-22
Last Update Date
2017-08-22
Business Address
MISIDA GWANYEBIT-FODJE NP
18220 TEXAS 249 ACCESS ROAD 230
HOUSTON, TX 77070
Phone number: 281-252-8600
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Mailing Address
MISIDA GWANYEBIT-FODJE NP
15006 WILDBERRY CREEK CT
CYPRESS, TX 77433-2241
Phone number: 949-294-3093
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