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1740254184
HENRY A ODUKOMAIYA
TAMPA, FL
NPI
1740254184
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL ME68789)
Enumeration Date
2006-02-14
Last Update Date
2021-05-27
Business Address
Mr. HENRY A ODUKOMAIYA M.D.
5331 PRIMROSE LAKE CIR STE 112
TAMPA, FL 33647-3764
Phone number: 813-651-1085
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Mailing Address
Mr. HENRY A ODUKOMAIYA M.D.
PO BOX 47535
TAMPA, FL 33646-0113
Phone number: 813-755-0006
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