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Individual

EVARIST O OGUGUO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHNP

Contact information

Practice address
110 PAINTERS MILL RD STE 108, OWINGS MILLS, MD 21117-5545
(240) 552-0264
Mailing address
2504 SOMERTON CT, BOWIE, MD 20721-2979
(240) 552-0264

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R172214
MD

Other

Enumeration date
05/28/2020
Last updated
06/22/2021
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