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Individual

ESSAR ADEJOLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
1239 SW ABISCO RD, PORT ST LUCIE, FL 34953-2896
(561) 502-6395
Mailing address
1239 SW ABISCO RD, PORT ST LUCIE, FL 34953-2896
(561) 502-6395

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9418417
FL

Other

Enumeration date
05/31/2023
Last updated
05/31/2023
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