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PRINCESS KUKUA AHEDOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2100 GEORGE DIETER DR, EL PASO, TX 79936-3815
(915) 955-2238
Mailing address
4500 CARTER CREEK PKWY STE 101B, BRYAN, TX 77802-4464
(915) 532-0010
(979) 316-1851

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP139886
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP139886
TX

Other

Enumeration date
01/15/2019
Last updated
02/09/2026
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