OSAZUWA MICHAEL IGHOOSAGIE

SAN DIEGO, CA
NPI1619442860
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2018-10-03
Last Update Date2018-10-03
Business Address
Mr. OSAZUWA MICHAEL IGHOOSAGIE idc
34800 BOB WILSON DR
SAN DIEGO, CA 92134-1098
Phone number: 619-532-9712
Mailing Address
Mr. OSAZUWA MICHAEL IGHOOSAGIE idc
1870 PISA CIR
STOCKTON, CA 95206-6321
Phone number: 209-430-0676
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