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1033978655
JUDE CHIBUOGWU EJIM
PHOENIX, AZ
NPI
1033978655
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AZ 304136)
Enumeration Date
2024-03-18
Last Update Date
2024-03-18
Business Address
JUDE CHIBUOGWU EJIM NP
2500 E VAN BUREN ST
PHOENIX, AZ 85008-6037
Phone number: 602-685-3100
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Mailing Address
JUDE CHIBUOGWU EJIM NP
8150 N 61ST AVE APT 1073
GLENDALE, AZ 85302-6782
Phone number: 225-485-6310
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