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Individual
OWEN O OMORAGBON
Active
Individual
OWEN O OMORAGBON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
010877
TX
363LF0000X
Family Nurse Practitioner
Primary
AP127005
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010877
HOME CARE LICENSE
TX
Enumeration date
10/13/2009
Last updated
11/23/2019
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