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1750655353
OGBANEDI JOHN ABU
STOCKTON, CA
NPI
1750655353
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA22087)
Enumeration Date
2012-02-28
Last Update Date
2012-02-28
Business Address
MR. OGBANEDI JOHN ABU PHYSICIAN ASSISTANT
415 W BENJAMIN HOLT DR
STOCKTON, CA 95207-3958
Phone number: 209-477-4103
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Mailing Address
MR. OGBANEDI JOHN ABU PHYSICIAN ASSISTANT
PO BOX 580244
ELK GROVE, CA 95758-0005
Phone number: 209-472-6624
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