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Individual

EKELE ADAEZE EZIRIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4534 MAPLEWOOD AVE, BALCH SPRINGS, TX 75180-4355
(719) 314-8789
Mailing address
4534 MAPLEWOOD AVE, BALCH SPRINGS, TX 75180-4355
(719) 314-8789

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
1112765
TX

Other

Enumeration date
10/24/2023
Last updated
10/24/2023
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