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Individual
STANLEY IJOMOH
Active
Individual
STANLEY IJOMOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
HHA12011
DC
376K00000X
Nurse's Aide
Primary
A00155945
MD
Other
Enumeration date
05/11/2016
Last updated
05/11/2016
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