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Individual

OGHENERUONA VINE ORORHO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
343 E MAIN ST STE 316, STOCKTON, CA 95202-2943
(209) 594-2153
Mailing address
8534 DON AVE APT 60, STOCKTON, CA 95209-2364
(323) 799-5824

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Enumeration date
02/05/2019
Last updated
02/05/2019
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