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Individual
IMMACULATE OBIAGELI ANEBERE
Active
Individual
IMMACULATE OBIAGELI ANEBERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
95014842
CA
363LF0000X
Family Nurse Practitioner
Primary
95014842
CA
Other
Enumeration date
07/27/2020
Last updated
08/31/2022
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