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Organization

OLUWASEGUN JOHN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
OLUWASEGUN AJIBOLA JOHN (COMMUNITY SUPPORT WORKER)
(301) 364-8656
Entity
Organization

Contact information

Practice address
6308 DANNER DR, CLINTON, MD 20735-3859
(301) 364-8656
Mailing address
6308 DANNER DR, CLINTON, MD 20735-3859
(301) 364-8656

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Enumeration date
08/20/2026
Last updated
08/20/2026
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