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Individual

MR. EMMANUEL I OGBOLU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
11615 FOREST CENTRAL DR, SUITE 321, DALLAS, TX 75243-5905
(214) 342-8888
(214) 342-9999
Mailing address
11615 FOREST CENTRAL DR, SUITE 321, DALLAS, TX 75243-5905
(214) 342-8888
(214) 342-9999

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
09/29/2010
Last updated
06/01/2015
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