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Individual
JASON ALAN MOGONYE
Active
Individual
JASON ALAN MOGONYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
M8189
TX
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
M8189
TX
Other
Enumeration date
10/30/2007
Last updated
09/26/2014
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