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Individual

CHIJINDU CHICHI NDUBISI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3508 FAR WEST BLVD STE 130, AUSTIN, TX 78731-3081
(512) 828-3990
(512) 241-1277
Mailing address
902 E OLYMPIC DR, PFLUGERVILLE, TX 78660-8039
(512) 990-5447

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
889101
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
889101
TX
Enumeration date
05/18/2020
Last updated
05/18/2020
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