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Individual

PRISCAH OUMA ODONGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1001 STURDY RD, VALPARAISO, IN 46383-4126
(219) 462-7173
(219) 462-7504
Mailing address
2401 VALLEY DR, VALPARAISO, IN 46383-2520
(219) 413-5100
(219) 465-9502

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28193924A
IN
363LF0000X
Family Nurse Practitioner
Primary
71009212A
IN

Other

Enumeration date
08/21/2019
Last updated
08/21/2019
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