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1447739297
LILLY RUKAYETU OMOROGBE
FORT WORTH, TX
NPI
1447739297
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP138086)
Enumeration Date
2018-08-13
Last Update Date
2018-08-13
Business Address
LILLY RUKAYETU OMOROGBE APRN
1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104-2122
Phone number: 817-250-3750
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Mailing Address
LILLY RUKAYETU OMOROGBE APRN
752 N MAIN ST UNIT 1227
MANSFIELD, TX 76063-3287
Phone number:
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