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1902503840
MANJUKA WIJEWARDENA
SHENANDOAH, TX
NPI
1902503840
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 1101444)
Enumeration Date
2023-02-10
Last Update Date
2023-04-19
Business Address
Mrs. MANJUKA WIJEWARDENA FNP
920 MEDICAL PLAZA DR STE 450
SHENANDOAH, TX 77380-3204
Phone number: 281-364-1700
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Mailing Address
Mrs. MANJUKA WIJEWARDENA FNP
30411 RUSSELL POINT DR
SPRING, TX 77386-3448
Phone number: 361-232-8833
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