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Individual

MR. EFOUI MENYO ABOTSI-KOWU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
1390 W 16TH ST, YUMA, AZ 85364-4430
(928) 344-4325
Mailing address
2400 S AVENUE A, YUMA, AZ 85364-7170
(928) 344-2000

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
112697
NE
363LG0600X
Gerontology Nurse Practitioner
Primary
226334
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
562534
AZ
Enumeration date
05/08/2019
Last updated
01/13/2025
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