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Individual
EMMANUEL PREMPEH
Active
Individual
EMMANUEL PREMPEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1222278
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0031DG
BLUE CROSS BLUE SHIELD
—
05
—
0944746-02
—
TX
Enumeration date
10/03/2012
Last updated
03/26/2020
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