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1104518059
EKINADOESE OSAGHAE
MEMPHIS, TN
NPI
1104518059
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: TN 33969)
Enumeration Date
2023-05-22
Last Update Date
2023-05-22
Business Address
EKINADOESE OSAGHAE
1030 JEFFERSON AVE
MEMPHIS, TN 38104-2127
Phone number: 901-523-8990
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Mailing Address
EKINADOESE OSAGHAE
1222 CHERRY RIDGE CV
CORDOVA, TN 38018-0133
Phone number: 901-210-2366
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