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1235978297
IGBINOGHODUA JONATHAN EDOMWONYI
FORT LAUDERDALE, FL
NPI
1235978297
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL 11032287)
Enumeration Date
2024-05-20
Last Update Date
2024-05-20
Business Address
Mr. IGBINOGHODUA JONATHAN EDOMWONYI MSN, PMHNP-BC.
3800 W BROWARD BLVD STE 101
FORT LAUDERDALE, FL 33312-1018
Phone number: 954-271-0291
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Mailing Address
Mr. IGBINOGHODUA JONATHAN EDOMWONYI MSN, PMHNP-BC.
3800 W BROWARD BLVD STE 101
FORT LAUDERDALE, FL 33312-1018
Phone number: 954-271-0291
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