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Organization
MOGBONJUBOLA A ADEYEMO MD PROFESSIONAL MEDICAL CORPORATION
Active
Organization
MOGBONJUBOLA A ADEYEMO MD PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARITA WAGNER (CREDENTIALING MANAGER)
(951) 369-9853
Entity
Organization
Contact information
Practice address
361 N SAN JACINTO ST, SUITE A B C, HEMET, CA 92543-3118
(951) 492-0728
Mailing address
361 N SAN JACINTO ST, SUITE A B C, HEMET, CA 92543-3118
(951) 492-0728
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A85970
CA
Other
Enumeration date
10/07/2016
Last updated
10/07/2016
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