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1700424207
JENNISHA UDUEZUE
DALLAS, TX
NPI
1700424207
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AR 122840)
Enumeration Date
2019-12-16
Last Update Date
2019-12-16
Business Address
JENNISHA UDUEZUE
4055 VALLEY VIEW LN
DALLAS, TX 75244-5074
Phone number: 972-715-3800
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Mailing Address
JENNISHA UDUEZUE
2930 PLATEAU DR
CONWAY, AR 72032-9261
Phone number: 501-773-5564
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