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1871166421
SAMUEL NYAWANSA GWAYA
DENTON, TX
NPI
1871166421
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX 1048011)
Enumeration Date
2021-07-21
Last Update Date
2021-07-21
Business Address
SAMUEL NYAWANSA GWAYA
2224 LAKE HAVEN LN
DENTON, TX 76208-2055
Phone number: 682-554-3270
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Mailing Address
SAMUEL NYAWANSA GWAYA
2224 LAKE HAVEN LN
DENTON, TX 76208-2055
Phone number: 682-554-3270
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