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1861975534
AGWESIP EMMACULATE
DALLAS, TX
NPI
1861975534
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: IA P62434)
Enumeration Date
2018-09-10
Last Update Date
2018-09-10
Business Address
AGWESIP EMMACULATE
6202 BALCONY LN
DALLAS, TX 75241-5059
Phone number: 972-404-6542
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Mailing Address
AGWESIP EMMACULATE
6202 BALCONY LN
DALLAS, TX 75241-5059
Phone number: 972-404-6542
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