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1639647019
KENNETH EJIOGU
HANFORD, CA
NPI
1639647019
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP138478)
Enumeration Date
2018-11-05
Last Update Date
2019-08-08
Business Address
KENNETH EJIOGU
1004 N DOUTY ST
HANFORD, CA 93230-3723
Phone number: 559-558-5879
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Mailing Address
KENNETH EJIOGU
1004 N DOUTY ST
HANFORD, CA 93230-3723
Phone number:
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