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ADEWALE ADEBO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPN

Contact information

Practice address
22121 JAMAICA AVE, 2 FLOOR, QUEENS VILLAGE, NY 11428-2015
(718) 468-6923
(718) 468-6925
Mailing address
941 CRESCENT ST, BROOKLYN, NY 11208-5515
(718) 468-6923
(718) 468-6925

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
286969
NY

Other

Enumeration date
06/21/2010
Last updated
06/21/2010
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