SUNDAY OMOROTIOMWAN

GRAND PRAIRIE, TX
NPI1417425307
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OK  0068284)
Enumeration Date2018-11-08
Last Update Date2018-11-08
Business Address
SUNDAY OMOROTIOMWAN
2815 PINO
GRAND PRAIRIE, TX 75054-0109
Phone number: 817-798-0575
Mailing Address
SUNDAY OMOROTIOMWAN
2815 PINO
GRAND PRAIRIE, TX 75054-0109
Phone number: 817-798-0575
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