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1790033611
LANESE OGUNKUA
DALLAS, TX
NPI
1790033611
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TX 817446)
Enumeration Date
2012-08-27
Last Update Date
2013-05-21
Business Address
-- LANESE OGUNKUA ANP-C
5323 HARRY HINES BLVD
DALLAS, TX 75390-7201
Phone number: 214-645-2800
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Mailing Address
-- LANESE OGUNKUA ANP-C
UT SOUTHWESTERN BILLING P.O. BOX 845347
DALLAS, TX 75284-5347
Phone number: 214-645-0600
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