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Individual

DR. ENOVWO ELOHO OHWOFAHWORAYE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD, DO

Contact information

Practice address
1383 W HUNTER ST, LOGAN, OH 43138-1013
(740) 385-0202
Mailing address
1383 W HUNTER ST, LOGAN, OH 43138-1013
(740) 385-0202

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
03226174
OH
207R00000X
Internal Medicine Physician
Primary
34.013090
OH
207R00000X
Internal Medicine Physician
AP2282058A49
OH

Other

Enumeration date
10/04/2011
Last updated
10/06/2025
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