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1376024315
EMMANUEL IKENNA OBINERO
FRISCO, TX
NPI
1376024315
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2108530)
Enumeration Date
2018-08-28
Last Update Date
2018-08-28
Business Address
EMMANUEL IKENNA OBINERO PTA
1185 ROMA DRIVE
FRISCO, TX 75034-7503
Phone number: 631-987-4936
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Mailing Address
EMMANUEL IKENNA OBINERO PTA
1185 ROMA DRIVE
FRISCO, TX 75034
Phone number: 631-987-4936
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