Individual
CLIFF OGARO MAGOMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
601 TWIN OAKS DR APT 1405, TEMPLE, TX 76504-2148
(469) 952-1870
Mailing address
601 TWIN OAKS DR APT 1405, TEMPLE, TX 76504-2148
(469) 952-1870
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
307396
TX
Other
Enumeration date
08/31/2018
Last updated
08/31/2018
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