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1902283534
PAUL MAYOMBOLA
DALLAS, TX
NPI
1902283534
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: TX AP127876)
Enumeration Date
2015-05-04
Last Update Date
2022-04-05
Business Address
PAUL MAYOMBOLA AGACNP
3500 GASTON AVE
DALLAS, TX 75246-2017
Phone number: 214-820-6856
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Mailing Address
PAUL MAYOMBOLA AGACNP
3500 GASTON AVE
DALLAS, TX 75246-2017
Phone number: 214-820-6856
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