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1871234435
MARTHA KERUBO OMBOGO
MARYLAND HEIGHTS, MO
NPI
1871234435
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: MO 2022012281)
Enumeration Date
2022-04-06
Last Update Date
2022-04-06
Business Address
MARTHA KERUBO OMBOGO
12272 CREVE COEUR RIDGE CT
MARYLAND HEIGHTS, MO 63043-1213
Phone number: 816-824-1447
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Mailing Address
MARTHA KERUBO OMBOGO
12272 CREVE COEUR RIDGE CT
MARYLAND HEIGHTS, MO 63043-1213
Phone number: 816-824-1447
Copy
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