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Individual

MR. OKONTA JOSEPH ONYERIKWU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
168 DAHL AVE, STRATFORD, CT 06614-2701
(203) 455-7688
Mailing address
168 DAHL AVE, STRATFORD, CT 06614-2701
(203) 455-7688

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
005294
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
005294
CT

Other

Enumeration date
02/26/2013
Last updated
02/26/2013
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