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1306391396
MICHAEL IDEMUDIA
TERRELL, TX
NPI
1306391396
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX F0616821)
Enumeration Date
2016-08-18
Last Update Date
2022-06-18
Business Address
Dr. MICHAEL IDEMUDIA DNP, APRN, FNP-C
904 W MOORE AVE STE B
TERRELL, TX 75160-3004
Phone number: 972-563-1475
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Mailing Address
Dr. MICHAEL IDEMUDIA DNP, APRN, FNP-C
904 W MOORE AVE STE B
TERRELL, TX 75160-3004
Phone number: 972-563-1475
Copy
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