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Individual
EROMOSELE STEVEN OKHUEBOR
Active
Individual
EROMOSELE STEVEN OKHUEBOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3318
CT
363A00000X
Physician Assistant
Primary
PA5568
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110126024A
—
MA
01
—
PA5568
PA LICENSE
MA
Enumeration date
05/18/2015
Last updated
03/22/2022
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