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Individual
LOVELY E. OMOREGBE
Active
Individual
LOVELY E. OMOREGBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
AP125041
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
730804
TX
Other
Enumeration date
01/22/2014
Last updated
04/19/2018
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