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1962005850
FIDELIS OSONDU EBEREONWU
PHOENIX, AZ
NPI
1962005850
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AZ RNP250307)
Enumeration Date
2020-11-21
Last Update Date
2020-11-21
Business Address
FIDELIS OSONDU EBEREONWU
924 W JESSICA LN
PHOENIX, AZ 85041-3978
Phone number: 480-332-8764
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Mailing Address
FIDELIS OSONDU EBEREONWU
924 W JESSICA LN
PHOENIX, AZ 85041-3978
Phone number: 480-332-8764
Copy
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