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Individual
EDWIN JAPHETH AGBONAVBARE
Active
Individual
EDWIN JAPHETH AGBONAVBARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
406565
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2277840
MA
Other
Enumeration date
04/04/2016
Last updated
12/10/2024
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