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Individual

DOUGLAS O. OGUMBO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
707 E MAIN ST, MIDDLETOWN, NY 10940-2650
(845) 333-3370
(845) 333-3372
Mailing address
707 E MAIN ST, MIDDLETOWN, NY 10940-2650
(845) 333-3370
(845) 333-3372

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F339089
NY
363LF0000X
Family Nurse Practitioner
F339089-1
NY

Other

Enumeration date
02/11/2015
Last updated
05/14/2024
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