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Individual

RUFUS EJIMONYEUGWO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
8470 LIMEKILN PIKE, BUILDING 2, APT. 504, WYNCOTE, PA 19095
(267) 688-1700
Mailing address
8470 LIMEKILN PIKE, BUILDING 2, APT. 504, WYNCOTE, PA 19095
(267) 688-1700

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
PA
163W00000X
Registered Nurse
RN2326700
MA
163W00000X
Registered Nurse
Primary
RN713911
PA

Other

Enumeration date
04/29/2019
Last updated
04/29/2019
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