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1467550046
MOSES A. OWOSO
FORT DEFIANCE, AZ
NPI
1467550046
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: TN 41707)
Additional Taxonomies
208600000X Surgery
(Licence: GA 056905)
Enumeration Date
2006-09-20
Last Update Date
2014-11-14
Business Address
-- MOSES A. OWOSO MD
CORNER OF ROUTE N12 AND N7 FORT DEFIANCE INDIAN HOSPITAL
FORT DEFIANCE, AZ 86504
Phone number: 928-205-8000
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Mailing Address
-- MOSES A. OWOSO MD
PO BOX 811
FORT DEFIANCE, AZ 86504-0811
Phone number: 928-205-9729
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