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Individual

ELVIS NWNEHBOM ABONGWA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5438 DUNSMORE HARBOR LN, KATY, TX 77449-5496
(419) 450-6734
Mailing address
5438 DUNSMORE HARBOR LN, KATY, TX 77449-5496
(419) 450-6734

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
26561
TX

Other

Enumeration date
08/03/2018
Last updated
08/03/2018
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