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1104835966
GODWIN OKUNGBOWA
SACRAMENTO, CA
NPI
1104835966
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA PA17828)
Enumeration Date
2006-08-07
Last Update Date
2007-07-08
Business Address
-- GODWIN OKUNGBOWA
3000 L ST
SACRAMENTO, CA 95816-5248
Phone number: 916-737-7121
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Mailing Address
-- GODWIN OKUNGBOWA
3441 MARYSVILLE BLVD
SACRAMENTO, CA 95838-4512
Phone number: 916-563-7230
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