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Individual

EBELOSELE EL-HANNAN AIGBIVBALU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2700 NW STEWART PARKWAY, ROSEBURG, OR 97471
(541) 677-2888
Mailing address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-0354
(409) 747-0534
(409) 747-0721

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
BP10063912
TX
2080N0001X
Neonatal-Perinatal Medicine Physician
V9841
TX

Other

Enumeration date
07/02/2018
Last updated
10/06/2025
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