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1003662917
KELLY OKPAGU
LONGVIEW, TX
NPI
1003662917
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: TX BP10088602)
Enumeration Date
2024-04-30
Last Update Date
2024-04-30
Business Address
KELLY OKPAGU MD
700 E MARSHALL AVE
LONGVIEW, TX 75601-5580
Phone number: 903-315-2000
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Mailing Address
KELLY OKPAGU MD
1516 SNOW TRL
LEWISVILLE, TX 75077-7543
Phone number: 682-273-6510
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