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Individual

MISS MODUPEOLA MOTOMORI AGBOOLA

Active
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Individual

MISS MODUPEOLA MOTOMORI AGBOOLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1170710
TX
225100000X
Physical Therapist
19515
FL
225100000X
Physical Therapist
40QA00933200
NJ

Other

Enumeration date
09/27/2006
Last updated
12/12/2008
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