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1619477692
GRACE EFFIONG IMOH
TYLER, TX
NPI
1619477692
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: TX 691933)
Enumeration Date
2018-02-16
Last Update Date
2018-02-16
Business Address
GRACE EFFIONG IMOH RN
755 S BECKHAM AVE
TYLER, TX 75701-1903
Phone number: 903-534-4684
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Mailing Address
GRACE EFFIONG IMOH RN
2905 FAIRFAX DR
TYLER, TX 75701-6509
Phone number: 903-343-9531
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