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Individual

KOJO ANEBO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ADMINISTRATOR

Contact information

Practice address
1723 CARRIAGE CREEK DR, DESOTO, TX 75115-3675
(214) 875-6961
(972) 780-5579
Mailing address
1723 CARRIAGE CREEK DR, DESOTO, TX 75115-3675
(214) 875-6961
(972) 780-5579

Taxonomy

Speciality
Code
Description
License number
State
374T00000X
Religious Nonmedical Nursing Personnel
Primary

Other

Enumeration date
10/02/2017
Last updated
10/02/2017
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