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Individual

ESSIEN UKPE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3348 POE AVE, CLOVIS, CA 93619-5018
(559) 371-0826
Mailing address
3348 POE AVE, CLOVIS, CA 93619-5018
(559) 371-0826

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
747271
CA

Other

Enumeration date
11/30/2022
Last updated
11/30/2022
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