THOMAS FOMUKONG

GARLAND, TX
NPI1588078703
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: TX  311971)
Enumeration Date2014-06-16
Last Update Date2014-06-16
Business Address
-- THOMAS FOMUKONG
2433 GOLDFINCH LN
GARLAND, TX 75042-8022
Phone number: 972-272-5820
Mailing Address
-- THOMAS FOMUKONG
2433 GOLDFINCH LN
GARLAND, TX 75042-8022
Phone number: 972-272-5820
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