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Individual
OMASILEM OBIRI
Active
Individual
OMASILEM OBIRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN613239
PA
363LF0000X
Family Nurse Practitioner
Primary
SP016941
PA
Other
Enumeration date
06/25/2010
Last updated
12/16/2021
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