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1609601491
VIVIAN IJEMABA OSEMENE
AUSTIN, TX
NPI
1609601491
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX 888034)
Enumeration Date
2024-09-03
Last Update Date
2024-09-03
Business Address
VIVIAN IJEMABA OSEMENE
2203 W 35TH ST
AUSTIN, TX 78703-1203
Phone number: 512-454-4731
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Mailing Address
VIVIAN IJEMABA OSEMENE
4219 N SUMMERCREST LOOP
ROUND ROCK, TX 78681-1087
Phone number: 512-740-5441
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