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NPI Profile for OMOIKE E AIZENOFE in GRAND PRAIRIE, TX.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pastoral |
101YP1600X |
| NPI # | 1982433132 |
|
| Status | Active | |
| Credentials | M.DIV. BCC | |
| Entity | Individual | |
| Enumeration date | 07/27/2024 | |
| Last updated | 07/27/2024 - More than a year ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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OMOIKE E AIZENOFE, M.DIV. BCC