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1053936443
ODERA MBANUGO
CANTON, OH
NPI
1053936443
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OH 35.148038)
Enumeration Date
2020-06-11
Last Update Date
2023-06-09
Business Address
ODERA MBANUGO MD
4320 CLEVELAND AVE SW
CANTON, OH 44707
Phone number: 330-484-2584
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Mailing Address
ODERA MBANUGO MD
PO BOX 80690
CANTON, OH 44708-0690
Phone number: 330-363-7444
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