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Individual
CHIDIOGO EBENMELU
Active
Individual
CHIDIOGO EBENMELU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AG10180235
TX
363LG0600X
Gerontology Nurse Practitioner
AG10180235
TX
Other
Enumeration date
12/23/2018
Last updated
04/26/2026
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