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1831963834
AGBORTAMBENG ENOWEYERE
ADA, OK
NPI
1831963834
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: OK 215732)
Enumeration Date
2023-11-09
Last Update Date
2023-11-09
Business Address
AGBORTAMBENG ENOWEYERE
430 N MONTE VISTA ST
ADA, OK 74820-4657
Phone number: 580-332-2323
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Mailing Address
AGBORTAMBENG ENOWEYERE
4007 MAGNOLIA RIDGE DR
MELISSA, TX 75454-0314
Phone number: 405-881-9965
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