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Jennifer Obannon

NPI 1326899964 · on the registry since 2024 · sole proprietor

Practice

Address
4902 West Gate Blvd #101
Austin, TX 78745
Phone
(512) 364-7240

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-04-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas