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Individual

AISOSA DEBORAH OKPOGIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
051300041
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
314228594
IL
Enumeration date
08/21/2020
Last updated
08/21/2020
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