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COURAGE OSIFO EMOKPAE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
576 SHELLCASTLE RD, ROCKY MOUNT, NC 27804-7710
(201) 407-0140
Mailing address
576 SHELLCASTLE RD, ROCKY MOUNT, NC 27804-7710
(201) 407-0140

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2010-01300
NC
207Q00000X
Family Medicine Physician
45533
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01-13570
MEDICA
01
224M6EM
BCBS
05
362165100
MN
Enumeration date
04/25/2006
Last updated
07/04/2014
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