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Association of Nigerian Physicians in the Americas - dc (Page 14)

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Association of Nigerian Physicians in the Americas - dc
ASSOCIATION OF NIGERIAN PHYSICIANS
IN THE AMERICAS
6876 Indiana Avenue, Suite F
Riverside, California 92506
Phone: 909/778-0716 · Fax: 909/778-0717
Website: http://www.anpa.org
B
OARD OF
D
IRECTORS
Boniface C. Abba, MD
Charlotte Amalie, V.I.
Johnson Adeyanju, MD
Clayton, CA
Chinwe Agugua, MD
McLean, VA
Rex Ajayi, MD
Albany, GA
Clement Ola Alade, MD
Baksersfield, CA
Akinyele Aluko, MD
Charlotte, NC
Udochukwa Asonye, MD
Oakbrook, IL
Babajide Bamigboye, MD
Brentwood, TN
Ephriam N. Bassey, MD
Mableton, GA
Caroline Baerg, MD
Mankato, MN
Festus Dada, MD
Corona, CA
Enobong Ekong, MD
Lancaster, CA
Christian M. Ezekwueche, MD
Macon, GA
Adekunle Fajana, MD
Worchester, MA
Olajire Idowu, MD
Oakland, CA
Omotayo Ifabumuyi, MD
New Brunswick, CAN
Abiodun Johnson, MD
Amarillo, TX
Julius Kpaduwa, MD
Diamond Bar, CA
Michael Kuyinu
Belle Mead, NJ
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
Christie Obukofe, MD
Houston, TX
Ferdinand Ofodile, MD
Woodcliff Lake, 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
Roswell, GA
Olusola A. Oyemade, MD
Rancho Cucamonga, CA
Dapo Ayoade Popoola, MD
Torrance, CA
Ajovi Scott-Emuakpor, MD
East Lansing, MI
Adeyinka Shoroye, MD
Corona, CA
Maurice Soremekun, MD
Beachwood, OH
Ebun Sonaiya, MD
Lagos, Nigeria
Anthony Udo-Inyang, MD
Grosse Point, MI
Aqua Don Umoren, MD
President & Chairman
Tuscaloosa, AL
205-391-9047
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
562-218-6264
Mathias Okoye, MD
Immediate Past President
Lincoln, NE
402-465-1900
E
XECUTIVE
B
OARD
MEMBERSHIP APPLICATION FORM
Name: ___________________________________________________________________________
Date of Birth: ______________________________________________________________________
Spouse Name:_____________________________________________________________________
Date of Birth: __________________________________________________Sex:
Male 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.
6876 Indiana Avenue, Suite F
Riverside, California 92506
# __________________________________ Exp. Date: ____________________
Signature: ________________________________________________________________________
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