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Individual

IRICA OGBU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2040 BABCOCK RD STE 304, SAN ANTONIO, TX 78229-4428
(210) 731-9570
Mailing address
6802 UTSA BLVD APT 3107, SAN ANTONIO, TX 78249-1551
(903) 386-8994

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
344215
TX

Other

Enumeration date
02/07/2019
Last updated
02/07/2019
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