OMOTAYO THERESA GBENGAOJO

MANSFIELD, TX
NPI1972201895
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX  1110419)
Enumeration Date2023-02-20
Last Update Date2025-05-26
Business Address
OMOTAYO THERESA GBENGAOJO APRN
1475 HERITAGE PKWY STE 209
MANSFIELD, TX 76063-2740
Phone number: 817-523-8812
Mailing Address
OMOTAYO THERESA GBENGAOJO APRN
1312 LAWNVIEW DR
FORNEY, TX 75126-1308
Phone number: 903-922-5944
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