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1407232341
SIMBA K MUKETIWA
ALLEN, TX
NPI
1407232341
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: TX AP129372)
Enumeration Date
2015-08-03
Last Update Date
2022-04-06
Business Address
SIMBA K MUKETIWA
104 PARKHURST LANE
ALLEN, TX 75013
Phone number: 469-688-3437
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Mailing Address
SIMBA K MUKETIWA
104 PARKHURST LANE
ALLEN, TX 75013
Phone number: 469-688-3437
Copy
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