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Individual
MR. TIMOTHY OMOKHOGIE OMOGBAI
Active
Individual
MR. TIMOTHY OMOKHOGIE OMOGBAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
508490
NY
Other
Enumeration date
06/12/2008
Last updated
06/12/2008
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