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1881179588
MARY EZINNE EZEBUIRO
JBSA LACKLAND, TX
NPI
1881179588
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP138218)
Enumeration Date
2018-09-27
Last Update Date
2021-01-21
Business Address
MARY EZINNE EZEBUIRO
1100 WILFORD HALL LOOP # 4554
JBSA LACKLAND, TX 78236-5638
Phone number: 210-292-7026
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Mailing Address
MARY EZINNE EZEBUIRO
1100 WILFORD HALL LOOP # 4554
JBSA LACKLAND, TX 78236-5638
Phone number: 210-292-7026
Copy
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