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Individual

DANIEL ADEBOWALE IYAOMOLERE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3079 HILL ST, ROUND ROCK, TX 78664-5789
(774) 400-3962
Mailing address
3079 HILL ST, ROUND ROCK, TX 78664-5789
(774) 400-3962

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
RI
171M00000X
Case Manager/Care Coordinator
171R00000X
Interpreter
171W00000X
Contractor
172A00000X
Driver
175T00000X
Peer Specialist
376K00000X
Nurse's Aide

Other

Enumeration date
07/15/2019
Last updated
07/15/2019
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