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Individual
STEPHEN OMOBUDE
Active
Individual
STEPHEN OMOBUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
STNA 400457110205
—
376J00000X
Homemaker
STNA 400457110205
—
376K00000X
Nurse's Aide
STNA 400457110205
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1807192
ODMRDD CONTRACT #
OH
05
—
2564014
—
OH
Enumeration date
03/01/2007
Last updated
09/11/2025
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