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MRS. OBIAGELI PHILOMENA EJIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1012 W 7TH ST APT 104, UPLAND, CA 91786-6380
(909) 541-6106
Mailing address
1012 W 7TH ST APT 104, UPLAND, CA 91786-6380

Taxonomy

Speciality
Code
Description
License number
State
132700000X
Dietary Manager
Primary
18941947
CA

Other

Enumeration date
09/06/2021
Last updated
09/06/2021
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