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1518428200
OMOYEMEN OSIWI BLUE
CHARLOTTE, NC
NPI
1518428200
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Former Name
OMOYEMEN OSIWI OSEHOBO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: NC 2022-01185)
Enumeration Date
2019-03-26
Last Update Date
2022-07-20
Business Address
Dr. OMOYEMEN OSIWI BLUE MD
10628 PARK RD
CHARLOTTE, NC 28210-8407
Phone number: 704-667-1000
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Mailing Address
Dr. OMOYEMEN OSIWI BLUE MD
10628 PARK RD
CHARLOTTE, NC 28210-8407
Phone number:
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