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Individual
AMARD ABCEJO
Active
Individual
AMARD ABCEJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
DO-05199
IA
207Q00000X
Family Medicine Physician
R10702
IA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
2256
NE
207QS0010X
Sports Medicine (Family Medicine) Physician
DO-05199
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/06/2016
Last updated
12/28/2020
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