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Association of Nigerian Physicians in the Americas - Las Vegas (Page 7)

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Association of Nigerian Physicians in the Americas - Las Vegas
ASSOCIATION OF NIGERIAN PHYSICIANS
IN THE AMERICAS
4000 14th Street, Suite 401
Riverside, California 92501-4010
B
OARD OF
D
IRECTORS
Boniface C. Abba, MD
Charlotte Amalie, V.I.
Samuel A. Adebonojo, MD
Dayton, OH
Chinwe Agugua, MD
McLean, VA
Rex Ajayi, MD
Albany, GA
Clement Ola Alade, MD
Baksersfield, CA
Akinyele Aluko, MD
Charlotte, NC
Babajide Bamigboye, MD
Brentwood, TN
Ephriam N. Bassey, MD
Mableton, GA
Sunmolu A. Beckley, MD
Newfoundland, CAN
Christian M. Ezekwueche, MD
Macon, GA
Adekunle Fajana, MD
Worchester, MA
Alfred O. Fayemi, MD
White Plains, NY
Olawale Olusoji Idewu, MD
Keokuk, IA
Olajire Idowu, MD
Oakland, CA
Omotayo Ifabumuyi, MD
New Brunswick, CAN
Abiodun Johnson, MD
Amarillo, TX
Tajudeen Ade Kashimawo, MD
Long Island, NY
Michael Kuyinu, MD
Old Bridge, NJ
Ivy Madu, MD
Monterey Park, CA
Belinda A. Marquis, MD
Long Island, NY
Charles Mbanefo, MD
Cleveland, OH
Oguchi Nkwocha, MD
Pebble Beach, CA
Ngozichukwuka Nwaneri, MD
Lanham Seabrook, MD
Vincent Nwosa, MD
Nassau, Bahamas
Clement C. Nwosu, MD
Macon, GA
Enobong Ekong, MD
Lancaster, CA
Ferdinand Ofodile, MD
Waldwick, NJ
Rita Nneka Oganwu, MD
Olympia Fields, IL
Vincent Oganwu, DDS
Olympia Fields, IL
Emmanual Okafor, MD
Orange, OH
Emeka E. Okeke, MD
Jamaica, NY
Nurudeen Ola. Olambiwonnu, MD
Pasadena, CA
Nurudeen Olowopopo, MD
Chicago, IL
Charles Omole, MD
Ontario, CAN
Rita Onyewuenyi, MD
Norcross, GA
Olusola A. Oyemade, MD
Rancho Cucamonga, CA
Nelson M. Oyesiku, MD
Atlanta, GA
Dapo Ayoade Popoola, MD
Torrance, CA
Adeyinka Shoroye, MD
Corona, CA
Ebun Sonaiya, MD
Lagos, Nigeria
Okoro Ukpabi, MD
Hempstead, NY
Aqua Don Umoren, MD
President & Chairman
Tuscaloosa, AL
205-758-6471
Alphonsus Obayuwana, MD
President-Elect
Silver Spring, MD
301-702-5234
Iheanacho Emeruwa, MD
Executive Director
Riverside, CA
909-788-6012
Olusegun Salako, MD
Treasurer
Long Beach, CA
310-424-4857
Mathias Okoye, MD
Immediate Past President
Lincoln, NE
402-473-5217
E
XECUTIVE
B
OARD
MEMBERSHIP APPLICATION FORM
Name: ___________________________________________________________________________
Date of Birth: ______________________________________________________________________
Spouse Name:_____________________________________________________________________
Date of Birth: __________________________________________________Sex:
t
Male
t
Female
Mailing Address: ___________________________________________________________________
Work Phone:
(______) __________________ Home Phone: (_____) ______________________
Fax#:
(______) __________________ E-Mail Address: ___________________________
Specialty:_________________________________________________________________________
________________________________________________________________________________
Medical School Attended: ____________________________________________________________
________________________________________________________________________________
Year of Graduation: _________________________________________________________________
Post Graduate Training At: ___________________________________________________________
________________________________________________________________________________
What aspect of the organization are you particularly interested in? ____________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
Membership in ANPA is open to all licensed Medical Doctors, Osteopathic Doctors, Dentists, and Podiatrists
Your membership dues of $365.00 should be made payable and mailed to:
ANPA, Inc.
4000 14th street, Suite 401
Riverside, California 92501-4010
t
t
# __________________________________ Exp. Date: ____________________
Signature: ________________________________________________________________________
First
Middle I.
Last
First
Middle I.
Last
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T
I O
N
O F
N I G E R I A
N
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T H E
A M E R I C
A S

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