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INDAVONG PHONASA, FNP-C

FNP-C

Family Nurse Practitioner

NPI: 1912356130IndividualAccepts Medicare

Specialties, Licenses & Credentials

Family Nurse PractitionerPrimary

Nurse Practitioner — Family

Code: 363LF0000X

AP131078(TX)

CMS Specialties

Education

OTHER

Class of 2016

Contact & Hours

Address
605 E 4TH ST, SUITE 300
ODESSA, TX 79761

Quick Facts

NPI
1912356130
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
1
Locations
1
Years in Practice
10

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