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1285783894
ENRIQUE C QUIAMBAO
TYLER, TX
NPI
1285783894
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 638062)
Enumeration Date
2007-01-10
Last Update Date
2010-12-01
Business Address
-- ENRIQUE C QUIAMBAO FNP-C
1133 MEDICAL DR
TYLER, TX 75701-2130
Phone number: 903-595-5486
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Mailing Address
-- ENRIQUE C QUIAMBAO FNP-C
1133 MEDICAL DR
TYLER, TX 75701-2130
Phone number: 903-595-5486
Copy
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