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Individual

AHINZE CAJETAN OSUAMADI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501005748
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4370968
MI
Enumeration date
02/18/2007
Last updated
11/13/2009
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