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1669090619
NICODEMUS WUANTAI NAIMODU
LUBBOCK, TX
NPI
1669090619
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: TX 1001356)
Enumeration Date
2020-07-07
Last Update Date
2020-07-07
Business Address
Mr. NICODEMUS WUANTAI NAIMODU RN
3708 20TH ST STE A
LUBBOCK, TX 79410-1228
Phone number: 806-744-8999
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Mailing Address
Mr. NICODEMUS WUANTAI NAIMODU RN
5016 HANOVER ST
LUBBOCK, TX 79416-1235
Phone number: 806-782-9177
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