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Individual
MS. NAHOMA OMWANGHE
Active
Individual
MS. NAHOMA OMWANGHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
209017675
IL
363LF0000X
Family Nurse Practitioner
Primary
209017675
IL
Other
Enumeration date
10/02/2018
Last updated
06/15/2022
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