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1518622562
LARRY C IWEAJUNWA
KATY, TX
NPI
1518622562
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 1057828)
Enumeration Date
2021-11-04
Last Update Date
2021-11-04
Business Address
LARRY C IWEAJUNWA
24931 SIGNORELLI WAY
KATY, TX 77493-4268
Phone number: 763-442-0749
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Mailing Address
LARRY C IWEAJUNWA
24931 SIGNORELLI WAY
KATY, TX 77493-4268
Phone number: 763-442-0749
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