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1275161408
DOMINIC M OMWENGA
ELKTON, MD
NPI
1275161408
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MD AC003032)
Enumeration Date
2020-04-01
Last Update Date
2020-04-01
Business Address
DOMINIC M OMWENGA
106 BOW ST
ELKTON, MD 21921-5544
Phone number: 302-897-1066
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Mailing Address
DOMINIC M OMWENGA
22 CHADDWYCK BLVD
NEW CASTLE, DE 19720-8822
Phone number:
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