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1740992106
VISI MARCO LAWONG
HOUSTON, TX
NPI
1740992106
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX 1088705)
Enumeration Date
2022-12-16
Last Update Date
2022-12-16
Business Address
VISI MARCO LAWONG NP
16850 BUCCANEER LN
HOUSTON, TX 77058-2507
Phone number: 833-971-2356
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Mailing Address
VISI MARCO LAWONG NP
430 AMBERWOOD PARK DR
KATY, TX 77493-4746
Phone number: 216-801-7195
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