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1386407245
PRINCE OMOGUN
SACRAMENTO, CA
NPI
1386407245
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2024-02-02
Last Update Date
2024-02-02
Business Address
PRINCE OMOGUN
7415 HENRIETTA DR
SACRAMENTO, CA 95822-5142
Phone number: 191-663-3903
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Mailing Address
PRINCE OMOGUN
7415 HENRIETTA DR
SACRAMENTO, CA 95822-5142
Phone number: 191-663-3903
Copy
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