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1730169194
IJEOMA A AZODO
PROVIDENCE, RI
NPI
1730169194
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: RI MD144117)
Additional Taxonomies
208600000X Surgery
(Licence: MN 47608)
Enumeration Date
2006-01-20
Last Update Date
2013-09-12
Business Address
-- IJEOMA A AZODO M.D.
2 DUDLEY ST SUITE 470
PROVIDENCE, RI 02905-3236
Phone number: 401-272-1800
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Mailing Address
-- IJEOMA A AZODO M.D.
PO BOX 16149
RUMFORD, RI 02916-0697
Phone number: 401-453-9625
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