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1790040897
IFEANYI ETUNWAOKO
OKLAHOMA CITY, OK
NPI
1790040897
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TR0400X Psychologist, Rehabilitation
(Licence: OK bhrs cert)
Enumeration Date
2012-07-05
Last Update Date
2012-07-05
Business Address
-- IFEANYI ETUNWAOKO
1609 GREENBRIAR PL
OKLAHOMA CITY, OK 73159-7640
Phone number: 405-735-3683
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Mailing Address
-- IFEANYI ETUNWAOKO
1609 GREENBRIAR PL
OKLAHOMA CITY, OK 73159-7640
Phone number: 405-735-3683
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