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1225523087
CHISOM OFODIRE
SACRAMENTO, CA
NPI
1225523087
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A173586)
Enumeration Date
2018-06-25
Last Update Date
2022-02-01
Business Address
CHISOM OFODIRE MD
3000 Q ST
SACRAMENTO, CA 95816-7058
Phone number: 916-733-3440
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Mailing Address
CHISOM OFODIRE MD
3000 Q ST
SACRAMENTO, CA 95816-7058
Phone number: 916-733-3440
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