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Individual

MR. PRINCE OLASUNKANMI ENIOLA

Active
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Individual

MR. PRINCE OLASUNKANMI ENIOLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NA

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG60130541
WA
376K00000X
Nurse's Aide
NA00197940
WA

Other

Enumeration date
01/12/2011
Last updated
01/12/2011
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