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1871837328
AGNES TITILAYO DELEAWE
CEDAR HILL, TX
NPI
1871837328
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: TX 736492)
Enumeration Date
2012-11-22
Last Update Date
2018-01-10
Business Address
AGNES TITILAYO DELEAWE NURSE PRACTITIONER
923 BENTWATER PKWY
CEDAR HILL, TX 75104-8268
Phone number: 817-521-3353
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Mailing Address
AGNES TITILAYO DELEAWE NURSE PRACTITIONER
902 W PIONEER PKWY STE 101
GRAND PRAIRIE, TX 75051-4703
Phone number: 817-680-8148
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