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1669160420
OWEN OMOREGIE
SYLMAR, CA
NPI
1669160420
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
225400000X Rehabilitation Practitioner
Enumeration Date
2023-04-28
Last Update Date
2023-09-28
Business Address
OWEN OMOREGIE
14119 BUCHER AVE
SYLMAR, CA 91342-1442
Phone number: 310-221-6336
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Mailing Address
OWEN OMOREGIE
14119 BUCHER AVE
SYLMAR, CA 91342-1442
Phone number: 310-221-6336
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