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1710563119
LYDIA E BOGONKO
AUSTIN, TX
NPI
1710563119
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: TX 1023669)
Enumeration Date
2021-03-24
Last Update Date
2021-03-24
Business Address
LYDIA E BOGONKO
8200 N MOPAC EXPY STE 285
AUSTIN, TX 78759-8981
Phone number: 512-996-9559
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Mailing Address
LYDIA E BOGONKO
8200 N MOPAC EXPY STE 285
AUSTIN, TX 78759-8981
Phone number: 512-996-9559
Copy
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