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1417414228
CHUNGONG AZEFOR
CONROE, TX
NPI
1417414228
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 346699)
Enumeration Date
2019-02-28
Last Update Date
2019-02-28
Business Address
CHUNGONG AZEFOR LVN
602 W SEMANDS ST
CONROE, TX 77301-1867
Phone number: 936-756-5598
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Mailing Address
CHUNGONG AZEFOR LVN
602 W SEMANDS ST
CONROE, TX 77301-1867
Phone number: 936-756-5598
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