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1750145355
COLLINS KIPRUTO IZIMBA
SAN ANTONIO, TX
NPI
1750145355
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX 1036153)
Enumeration Date
2024-02-13
Last Update Date
2024-02-13
Business Address
COLLINS KIPRUTO IZIMBA
4242 WOODCOCK DR
SAN ANTONIO, TX 78228-1325
Phone number: 210-940-2764
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Mailing Address
COLLINS KIPRUTO IZIMBA
4242 WOODCOCK DR
SAN ANTONIO, TX 78228-1325
Phone number: 210-940-2764
Copy
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