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1245015502
PAT I EKENOMAGHELE
MODESTO, CA
NPI
1245015502
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IL 95026889)
Enumeration Date
2023-08-25
Last Update Date
2023-08-25
Business Address
PAT I EKENOMAGHELE NP
3987 PURPLE FINCH LN
MODESTO, CA 95355-8529
Phone number: 309-585-8099
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Mailing Address
PAT I EKENOMAGHELE NP
3987 PURPLE FINCH LN
MODESTO, CA 95355-8529
Phone number: 309-585-8099
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