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1942036405
MERCY ITOHAN ADEESO
FORT WORTH, TX
NPI
1942036405
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Former Name
MERCY ITOHAN EGUAKUN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 1081741)
Enumeration Date
2024-09-11
Last Update Date
2024-09-11
Business Address
MERCY ITOHAN ADEESO LVN
3840 HULEN ST
FORT WORTH, TX 76107-7277
Phone number: 817-335-3022
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Mailing Address
MERCY ITOHAN ADEESO LVN
PO BOX 2603
FORT WORTH, TX 76113-2603
Phone number: 817-569-4300
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