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Individual

MISS CHIOMA OMENIHO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1014 AUTUMN RD, STE 4, LITTLE ROCK, AR 72211-3704
(501) 221-1941
Mailing address
12301 SHAWNEE FOREST DR, LITTLE ROCK, AR 72212-2342
(219) 916-1680

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
08/24/2011
Last updated
08/24/2011
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