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Bomaonye Tienabeso, MD
Student in an Organized Health Care Education/Training Program in Edmond, Oklahoma
NPI 1225772502

Bomaonye Tienabeso is a Student in an Organized Health Care Education/Training Program based in Edmond, OK. Bomaonye Tienabeso practices in Edmond, OK and has the professional credentials of MD. The NPI Number for Bomaonye Tienabeso is 1225772502 and holds a License No. (Oklahoma).

The current practice location address for Bomaonye Tienabeso is 1316 Nw 170Th St, Edmond, OK and can be reached out via phone at 405-476-0822. You can also correspond with Bomaonye Tienabeso through the mailing address at 1316 NW 170TH ST, EDMOND, OK - 73012-7410 (mailing address contact number: 405-476-0822).

Location: 1316 Nw 170Th St, Edmond, OK, 73012-7410
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225772502
Provider Name
Bomaonye Tienabeso
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1316 Nw 170Th St, Edmond, OK, 73012-7410
Phone Number
405-476-0822
Fax Number
Provider Enumeration Date
04/23/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1316 Nw 170Th St
City
Edmond
State
Oklahoma
Zip
73012-7410
Phone Number
405-476-0822
Fax Number
person
Provider Business Mailing Address Details
Address
1316 Nw 170Th St
City
Edmond
State
Oklahoma
Zip
73012-7410
Phone Number
405-476-0822
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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