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1649755315
LIONEL SANDJONG
GRAND PRAIRIE, TX
NPI
1649755315
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: TX 931240)
Enumeration Date
2018-09-28
Last Update Date
2018-09-28
Business Address
LIONEL SANDJONG
2108 N KIRBYWOOD TRL
GRAND PRAIRIE, TX 75052-7512
Phone number: 847-660-8213
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Mailing Address
LIONEL SANDJONG
2108 N KIRBYWOOD TRL
GRAND PRAIRIE, TX 75052-7512
Phone number: 847-660-8213
Copy
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