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1336906783
IVIE EDOSOMWAN
SUGAR LAND, TX
NPI
1336906783
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX 1154270)
Enumeration Date
2024-03-04
Last Update Date
2024-03-04
Business Address
IVIE EDOSOMWAN
14090 SOUTHWEST FWY STE 300
SUGAR LAND, TX 77478-3679
Phone number: 832-495-1488
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Mailing Address
IVIE EDOSOMWAN
14090 SOUTHWEST FWY STE 300
SUGAR LAND, TX 77478-3679
Phone number: 832-495-1488
Copy
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