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1821563891
THERESIA FOMUNUNG
FRISCO, TX
NPI
1821563891
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: TX 847747)
Enumeration Date
2018-10-05
Last Update Date
2018-10-05
Business Address
THERESIA FOMUNUNG
3134 IZABELLA CT
FRISCO, TX 75033-8068
Phone number: 832-770-0887
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Mailing Address
THERESIA FOMUNUNG
3134 IZABELLA CT
FRISCO, TX 75033-8068
Phone number: 832-770-0887
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