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1558776914
ANITA AISHA OBEHI MOMODU
LAS VEGAS, NV
NPI
1558776914
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Additional Taxonomies
251S00000X
Enumeration Date
2014-06-24
Last Update Date
2015-03-11
Business Address
-- ANITA AISHA OBEHI MOMODU
8615 ISLA VISTA VALLEY CT
LAS VEGAS, NV 89178-7521
Phone number: 702-325-9756
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Mailing Address
-- ANITA AISHA OBEHI MOMODU
8615 ISLA VISTA VALLEY CT
LAS VEGAS, NV 89178-7521
Phone number: 702-325-9756
Copy
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