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Individual

CHIDERA AGBO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3765 S 147TH EAST AVE, TULSA, OK 74134-4655
(336) 549-4989
Mailing address
3765 S 147TH EAST AVE, TULSA, OK 74134-4655

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Enumeration date
04/02/2024
Last updated
04/02/2024
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