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1679251557
THERESA CHIBUOKE
SOUTHLAKE, TX
NPI
1679251557
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX 1115822)
Enumeration Date
2023-07-10
Last Update Date
2023-07-10
Business Address
THERESA CHIBUOKE NURSE PRACTITIONER
2131 KIRKWOOD BLVD STE 100
SOUTHLAKE, TX 76092-1540
Phone number: 817-251-4906
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Mailing Address
THERESA CHIBUOKE NURSE PRACTITIONER
2131 KIRKWOOD BLVD
SOUTHLAKE, TX 76092-1529
Phone number: 817-251-4906
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