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Individual

OLUWABUKOLA SUSAN MESOLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1221 TAYLOR ST NW, WASHINGTON, DC 20011-5617
(202) 464-9200
Mailing address
9226 EDWARDS WAY UNIT 1-1334, ADELPHI, MD 20783-3430
(651) 315-0797

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
08/07/2023
Last updated
11/02/2023
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