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1114770690
KENEOLISA ERIC OGAMBA
HOUSTON, TX
NPI
1114770690
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2024-04-08
Last Update Date
2024-04-08
Business Address
Dr. KENEOLISA ERIC OGAMBA MD
6431 FANNIN ST RM 5.170
HOUSTON, TX 77030-1501
Phone number: 713-500-6113
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Mailing Address
Dr. KENEOLISA ERIC OGAMBA MD
6431 FANNIN ST RM 5.170
HOUSTON, TX 77030-1501
Phone number: 713-500-6113
Copy
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