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Individual
OLUWAGBENGA JOHNSON ADEWALE
Active
Individual
OLUWAGBENGA JOHNSON ADEWALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
62407
DC
374U00000X
Home Health Aide
Primary
HHA8908
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045787200
—
DC
Enumeration date
05/26/2012
Last updated
11/29/2016
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