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1962279067
IKENNA CHIDUM ANYABOLU
PEARLAND, TX
NPI
1962279067
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX 1143408)
Enumeration Date
2023-12-08
Last Update Date
2023-12-08
Business Address
IKENNA CHIDUM ANYABOLU
3513 OLD HOLLY DR
PEARLAND, TX 77584-1933
Phone number: 513-442-6044
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Mailing Address
IKENNA CHIDUM ANYABOLU
10727 RIVER WALK DR
MISSOURI CITY, TX 77459-5524
Phone number: 513-442-6044
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