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1386384097
STEPHANIE CHINWENNAJIDEMAOBAME
SAN ANTONIO, TX
NPI
1386384097
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX 1072156)
Enumeration Date
2022-03-30
Last Update Date
2022-03-30
Business Address
STEPHANIE CHINWENNAJIDEMAOBAME
1202 E SONTERRA BLVD STE 501
SAN ANTONIO, TX 78258-4092
Phone number: 210-616-9526
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Mailing Address
STEPHANIE CHINWENNAJIDEMAOBAME
1202 E SONTERRA BLVD STE 501
SAN ANTONIO, TX 78258-4092
Phone number:
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