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Individual
MR. VITUS UCHENNA NWAFOR
Active
Individual
MR. VITUS UCHENNA NWAFOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA04037
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA04037
MEDICAL LICENSE
TX
Enumeration date
03/12/2007
Last updated
01/29/2016
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