# GODWIN ABODOH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ABA MEDICAL SUPPLY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265534309
- **Authorized official:** GODWIN EMONENA ABODOH (OWNER)
- **Authorized official phone:** (909) 881-6013

## Contact information

- **Practice address:** 1761 N D ST, SAN BERNARDINO, CA 92405-4417
- **Practice address phone:** (909) 881-6013
- **Mailing address:** 1761 N D ST, SAN BERNARDINO, CA 92405-4417
- **Mailing address phone:** (909) 881-6013

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 103706 | CA | Yes |

## Other

- **Enumeration date:** 09/01/2006
- **Last updated:** 10/22/2008