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1952934739
ETHEL NTOM ODIMEGWU
HEMET, CA
NPI
1952934739
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95013976)
Enumeration Date
2020-02-19
Last Update Date
2020-02-19
Business Address
ETHEL NTOM ODIMEGWU FNP
422 N SAN JACINTO ST
HEMET, CA 92543-3124
Phone number: 909-565-2622
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Mailing Address
ETHEL NTOM ODIMEGWU FNP
15625 MESA VERDE DR
MORENO VALLEY, CA 92555-4220
Phone number: 909-565-2622
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