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1891079158
EDMOND NKETTI FOMUNUNG
DALLAS, TX
NPI
1891079158
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208M00000X Hospitalist
(Licence: TX Q3184)
Enumeration Date
2011-10-05
Last Update Date
2017-01-30
Business Address
Dr. EDMOND NKETTI FOMUNUNG MD
5323 HARRY HINES BOULEVARD
DALLAS, TX 75390-7201
Phone number: 214-645-3597
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Mailing Address
Dr. EDMOND NKETTI FOMUNUNG MD
P.O. BOX 845347
DALLAS, TX 75284-5347
Phone number: 214-645-3597
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