Provider Information for 1184267858
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COMFORT EBOB ASHUNOMBI EPSE NJIMBAH
Sex: Female
NPI: 1184267858
Last Updated: 2019-10-24
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1184267858 | ||||||||
| Enumeration Date | 2019-10-24 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 3404 PERIWINKLE CT APT 107 PALM BEACH GARDENS, FL 33410-2741 United States Phone: 561-909-5284 | Fax: | ||||||||
| Primary Practice Address | 1639 FORUM PL STE 7 WEST PALM BEACH, FL 33401-2330 United States Phone: 561-712-8821 | Fax: | ||||||||
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