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Individual
PETER OCHIENG OKELLO
Active
Individual
PETER OCHIENG OKELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.462751
IL
163W00000X
Registered Nurse
874771
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
1029373
TX
Other
Enumeration date
07/23/2020
Last updated
02/05/2021
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