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1528632031
LIZETTE MANGUM-NNAM NJI
DALLAS, TX
NPI
1528632031
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX 1031514)
Enumeration Date
2021-05-18
Last Update Date
2022-05-04
Business Address
LIZETTE MANGUM-NNAM NJI
4215 GANNON LN
DALLAS, TX 75237-2914
Phone number: 972-283-9090
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Mailing Address
LIZETTE MANGUM-NNAM NJI
3601 HUTCH DR
PLANO, TX 75074-8965
Phone number: 781-475-4523
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