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Individual

OBIAGELI U OBI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-2005
Mailing address
504 CLINTON CENTER DRIVE, CBO-SUITE 4300, CLINTON, MS 39056-5601
(601) 815-2005

Taxonomy

Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
27999
MS

Other

Enumeration date
04/26/2015
Last updated
10/11/2022
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