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Individual
MILDRED ONIME
Active
Individual
MILDRED ONIME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AP125351
TX
364SG0600X
Gerontology Clinical Nurse Specialist
767459
TX
Other
Enumeration date
07/02/2014
Last updated
07/02/2014
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