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Individual

MR. JOSEPHAT OMWENO KIROCHI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
5784 JILLIAN WAY, GRAND PRAIRIE, TX 75052-0418
(817) 449-7705
Mailing address
5784 JILLIAN WAY, GRAND PRAIRIE, TX 75052-0418
(817) 449-7705

Taxonomy

Speciality
Code
Description
License number
State
163WH0500X
Hemodialysis Registered Nurse
Primary
846625
TX

Other

Enumeration date
10/12/2017
Last updated
10/12/2017
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