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1346653508
EGHOSA ODOBO
NORTH LAS VEGAS, NV
NPI
1346653508
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN201454)
Enumeration Date
2014-06-05
Last Update Date
2014-06-11
Business Address
-- EGHOSA ODOBO
6900 PECOS RD
NORTH LAS VEGAS, NV 89086-4400
Phone number: 702-791-9000
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Mailing Address
-- EGHOSA ODOBO
903 SHAFTOE ST NW
KENNESAW, GA 30152-6999
Phone number:
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