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Individual
MR. KAYODE EBED-MELECH BALOGUN SR.
Active
Individual
MR. KAYODE EBED-MELECH BALOGUN SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP033280R
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP033280R
PHARMACIST
PA
Enumeration date
12/11/2006
Last updated
01/21/2022
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