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1124014196
ELIAS OMAR RUILOBA
KINGMAN, AZ
NPI
1124014196
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Professional Name
E OMAR RUILOBA
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: AZ 25458)
Enumeration Date
2005-09-23
Last Update Date
2011-10-06
Business Address
Mr. ELIAS OMAR RUILOBA MD
2002 N STOCKTON HILL RD #104
KINGMAN, AZ 86401-4698
Phone number: 928-718-4800
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Mailing Address
Mr. ELIAS OMAR RUILOBA MD
1743 SYCAMORE AVE
KINGMAN, AZ 86409-0927
Phone number: 928-757-8111
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