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Individual
RUTH IYUN FAGBEMI
Active
Individual
RUTH IYUN FAGBEMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
47498
KY
207Q00000X
Family Medicine Physician
MT200451
PA
207Q00000X
Family Medicine Physician
Primary
R1524
TX
207R00000X
Internal Medicine Physician
R1524
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47498
LICENSE
KY
05
—
7100314450
—
KY
Enumeration date
06/29/2011
Last updated
10/17/2019
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