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1598320640
IRINE BENGZEN FOMBO
BULVERDE, TX
NPI
1598320640
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP141107)
Enumeration Date
2019-05-03
Last Update Date
2019-05-03
Business Address
IRINE BENGZEN FOMBO
805 KELLY CREEK RD
BULVERDE, TX 78163-3035
Phone number: 830-438-5662
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Mailing Address
IRINE BENGZEN FOMBO
805 KELLY CREEK RD
BULVERDE, TX 78163-3035
Phone number: 830-438-5662
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