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Individual
MARY OLUBUNMI FAKOREDE
Active
Individual
MARY OLUBUNMI FAKOREDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
D0093734
MD
207Q00000X
Family Medicine Physician
Primary
MD500002485
DC
207QA0401X
Addiction Medicine (Family Medicine) Physician
D0093734
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
03/26/2019
Last updated
09/18/2026
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