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Individual
YAA B OWUSU-BANAHENE
Active
Individual
YAA B OWUSU-BANAHENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036160225
IL
208000000X
Pediatrics Physician
Primary
H0099435
MD
Other
Enumeration date
03/23/2019
Last updated
03/15/2024
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