Provider Information for 1730682428
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Ms. KAMALA A ORUAMABO LMHC
Sex: Female
NPI: 1730682428
Last Updated: 2021-05-28
Certification Date: 2021-05-28
Certification Date: 2021-05-28
Details
Name | Value | ||||||||
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NPI | 1730682428 | ||||||||
Enumeration Date | 2018-03-09 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | 120 KING ST JACKSONVILLE, FL 32204-2410 United States Phone: 904-800-6347 | Fax: | ||||||||
Primary Practice Address | 120 KING ST JACKSONVILLE, FL 32204-2410 United States Phone: 904-914-9074 | Fax: | ||||||||
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