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1134987456
IZIENGBE OGBOMO
PORTLAND, OR
NPI
1134987456
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: TX 972439)
Enumeration Date
2024-03-11
Last Update Date
2024-03-11
Business Address
IZIENGBE OGBOMO RN
1050 SW 6TH AVE
PORTLAND, OR 97204-1156
Phone number: 503-308-8287
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Mailing Address
IZIENGBE OGBOMO RN
6200 THUNDERWING DR
FORT WORTH, TX 76179-1540
Phone number: 682-203-5743
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