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Individual
OMOLADE M BADERO
Active
Individual
OMOLADE M BADERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS60502
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235314
NOT SURE
FL
Enumeration date
07/02/2020
Last updated
07/02/2020
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