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Individual

ANNETTE EGBONIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3801 W HIGHWAY 31, CORSICANA, TX 75110-9211
(903) 874-8239
Mailing address
4309 GREATVIEW DR, ROUND ROCK, TX 78665-1245
(254) 624-1935

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
60109
TX

Other

Enumeration date
10/29/2020
Last updated
10/29/2020
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