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1366998189
ERICA LEIGH VINOGRADOV
HOUSTON, TX
NPI
1366998189
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA AP08904)
Enumeration Date
2016-08-31
Last Update Date
2022-05-20
Business Address
ERICA LEIGH VINOGRADOV FNP
102 W 11TH ST
HOUSTON, TX 77008-6857
Phone number: 832-539-4707
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Mailing Address
ERICA LEIGH VINOGRADOV FNP
102 W 11TH ST
HOUSTON, TX 77008-6857
Phone number: 832-539-4707
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SUPREME CHOICE MED CARE LLC