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1588865760
MARIONTINO ODIGHIZUWA
BALTIMORE, MD
NPI
1588865760
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: MD C0003361)
Enumeration Date
2007-05-29
Last Update Date
2007-07-08
Business Address
-- MARIONTINO ODIGHIZUWA PA-C
827 LINDEN AVE
BALTIMORE, MD 21201-4606
Phone number: 410-225-8500
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Mailing Address
-- MARIONTINO ODIGHIZUWA PA-C
15 NORTH CHARLES ST APT 2605-ST
BALTIMORE, MD 21201
Phone number: 503-860-4020
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