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1700101359
KOFOWOROLA OHIOMOBA
AUSTIN, TX
NPI
1700101359
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208000000X Pediatrics
(Licence: TX R8067)
Enumeration Date
2010-04-06
Last Update Date
2024-01-22
Business Address
KOFOWOROLA OHIOMOBA
11714 WILSON PARKE AVE STE 150
AUSTIN, TX 78726-4061
Phone number: 512-346-6611
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Mailing Address
KOFOWOROLA OHIOMOBA
6210 E HWY 290
AUSTIN, TX 78723-1142
Phone number: 512-483-9596
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