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Innocent Ken Ike Valid NPI

Individual provider · Community Health Worker · Sugar Land, TX

NPI
1447549407
Type
Individual (Type 1)
Primary specialty
Community Health Worker
Specialty group
Other Service Providers
Taxonomy code
172V00000X
Sex
Male
Sole proprietor
Yes
Enumerated
2011-03-30
Last updated
2013-12-19
Practice location
63 Rivercoach Ln
Sugar Land, TX 77479-5545
(832) 359-7755

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