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Individual
NNENNA RENEE AGOMUO
Active
Individual
NNENNA RENEE AGOMUO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.OT, OTR
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
108225
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1852985
FIRST HEALTH
TX
01
—
8658OT
BCBS
TX
Enumeration date
02/26/2008
Last updated
02/26/2008
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