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1215122478
OMOROVBIYE T ODIGIE
BROCKTON, MA
NPI
1215122478
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MA 2135)
Enumeration Date
2007-09-11
Last Update Date
2015-05-22
Business Address
-- OMOROVBIYE T ODIGIE PA
680 CENTRE ST
BROCKTON, MA 02302-3308
Phone number: 508-894-0400
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Mailing Address
-- OMOROVBIYE T ODIGIE PA
680 CENTRE ST
BROCKTON, MA 02302-3308
Phone number: 508-894-0400
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