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Individual

IJEOMA AUDREY OKPARA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
67 OAK STREET, TRENTON, NJ 08638
(609) 331-0634
Mailing address
67 OAK ST, TRENTON, NJ 08638-5112

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
06/08/2017
Last updated
06/08/2017
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