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1740848431
JIDEOFOR UZOMA OGBONNA
WAXAHACHIE, TX
NPI
1740848431
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: TX F03190027)
Enumeration Date
2019-05-29
Last Update Date
2019-05-29
Business Address
JIDEOFOR UZOMA OGBONNA NP
1102 SOLON PLACE WAY STE A
WAXAHACHIE, TX 75165-5038
Phone number: 972-351-9993
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Mailing Address
JIDEOFOR UZOMA OGBONNA NP
2513 EDGEFIELD TRL
MANSFIELD, TX 76063-3738
Phone number: 469-658-9352
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