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1164918108
EBELOSELE EL-HANNAN AIGBIVBALU
ROSEBURG, OR
NPI
1164918108
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: TX BP10063912)
Enumeration Date
2018-07-02
Last Update Date
2021-06-14
Business Address
EBELOSELE EL-HANNAN AIGBIVBALU MD
2700 NW STEWART PARKWAY
ROSEBURG, OR 97471
Phone number: 541-677-2888
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Mailing Address
EBELOSELE EL-HANNAN AIGBIVBALU MD
301 UNIVERSITY BLVD
GALVESTON, TX 77555-0354
Phone number: 409-747-0534
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