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1114512068
STATE OF DELAWARE
NEW CASTLE, DE
NPI
1114512068
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Entity Type
Organization
Authorized Contact
AWELE N. MADUKA-EZEH
Medical Director
302-739-5601
Organization Subpart ?
Yes
Primary Taxonomy
261QP2400X Clinic/Center Prison Health
Enumeration Date
2021-03-03
Last Update Date
2021-03-03
Business Address
STATE OF DELAWARE
660 BAYLOR BLVD
NEW CASTLE, DE 19720-1140
Phone number: 302-577-3004
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Mailing Address
STATE OF DELAWARE
245 MCKEE RD
DOVER, DE 19904-2232
Phone number:
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