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1700247418
KIKELOMO OMOTOSO
BULLHEAD CITY, AZ
NPI
1700247418
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LX0001X Nurse Practitioner, Obstetrics & Gynecology
(Licence: AZ 8360)
Enumeration Date
2016-03-09
Last Update Date
2016-12-15
Business Address
-- KIKELOMO OMOTOSO
2500 CANYON RD STE A1
BULLHEAD CITY, AZ 86442
Phone number: 928-704-4499
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Mailing Address
-- KIKELOMO OMOTOSO
2500 CANYON RD STE A1
BULLHEAD CITY, AZ 86442
Phone number: 928-704-4499
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