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Individual

MR. JOSEPH OMALEMIGBO ABGATEYINIRO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1810 SHIVA COURT, DURHAM, NC 27703
(919) 908-7433
Mailing address
1810 SHIVA COURT, DURHAM, NC 27703
(919) 908-7433

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
332U00000X
Home Delivered Meals
343900000X
Non-emergency Medical Transport (VAN)
Primary
347C00000X
Private Vehicle

Other

Enumeration date
11/05/2020
Last updated
11/05/2020
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