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1902565328
BRIAN EDOKPOLO
SACRAMENTO, CA
NPI
1902565328
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 95264075)
Enumeration Date
2021-12-13
Last Update Date
2021-12-13
Business Address
BRIAN EDOKPOLO RN
4378 AUBURN BLVD
SACRAMENTO, CA 95841-4175
Phone number: 279-348-7200
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Mailing Address
BRIAN EDOKPOLO RN
9130 NOLAN ST APT 2055
ELK GROVE, CA 95758-7548
Phone number: 916-514-3144
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