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1710402698
ETHELBERT ONUEFI ODO
DUNCANVILLE, TX
NPI
1710402698
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: TX AP134842)
Enumeration Date
2017-08-11
Last Update Date
2017-08-11
Business Address
Mr. ETHELBERT ONUEFI ODO NP-C
606 ORIOLE BLVD STE 301
DUNCANVILLE, TX 75116-3500
Phone number: 469-556-1467
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Mailing Address
Mr. ETHELBERT ONUEFI ODO NP-C
611 PONDVIEW DR
CEDAR HILL, TX 75104-6219
Phone number: 469-556-1467
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