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1740767482
IKE IKPONMWOSA IYAMU
LAS CRUCES, NM
NPI
1740767482
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NM 118612)
Enumeration Date
2018-07-25
Last Update Date
2018-07-25
Business Address
Dr. IKE IKPONMWOSA IYAMU DNP, CRNA
2450 S TELSHOR BLVD
LAS CRUCES, NM 88011-5076
Phone number: 575-532-4432
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Mailing Address
Dr. IKE IKPONMWOSA IYAMU DNP, CRNA
2471 CONCHAS LN
LAS CRUCES, NM 88011-1733
Phone number: 713-591-2433
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