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1972201895
OMOTAYO THERESA GBENGAOJO
FORNEY, TX
NPI
1972201895
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: TX 1110419)
Enumeration Date
2023-02-20
Last Update Date
2023-02-20
Business Address
OMOTAYO THERESA GBENGAOJO APRN
1312 LAWNVIEW DR
FORNEY, TX 75126-1308
Phone number: 903-922-5944
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Mailing Address
OMOTAYO THERESA GBENGAOJO APRN
1312 LAWNVIEW DR
FORNEY, TX 75126-1308
Phone number: 903-922-5944
Copy
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