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Individual
MR. ADAM OMOTOSO SHUAIB
Active
Individual
MR. ADAM OMOTOSO SHUAIB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP, PMHNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
R210702
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2380369
MA
Other
Enumeration date
02/28/2023
Last updated
06/09/2023
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