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Individual

IBIRONKE MUTIAT GBAJA-BIAMILA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
303 TWIN DOLPHIN DR, REDWOOD CITY, CA 94065-1497
(832) 875-5602
Mailing address
712 S GREENVILLE AVE, RICHARDSON, TX 75081-4112
(832) 876-7712

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1021248
TX

Other

Enumeration date
05/04/2021
Last updated
12/05/2025
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