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Individual
WEMIMO M IGBINOSUN
Active
Individual
WEMIMO M IGBINOSUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA13448
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
I-215-870-566-278
LICENSE
MD
Enumeration date
10/02/2018
Last updated
10/02/2018
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