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1689068074
IKENNA EGO-OSUALA
BROOKLYN, NY
NPI
1689068074
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2015-03-24
Last Update Date
2019-05-23
Business Address
Dr. IKENNA EGO-OSUALA
760 RADCLIFFE AVE 00013
BROOKLYN, NY 11206
Phone number: 302-555-5555
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Mailing Address
Dr. IKENNA EGO-OSUALA
12601 PLEASANT PROSPECT RD
BOWIE, MD 20721-2522
Phone number: 240-603-3447
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