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Individual

EKUNDAYO OLADEHINDE ISRAEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
206 WATERWOOD DR, WYLIE, TX 75098-7475
(469) 831-4354
(972) 575-8668
Mailing address
206 WATERWOOD DR, WYLIE, TX 75098-7475
(469) 831-4354
(972) 575-8668

Taxonomy

Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
Primary
253Z00000X
In Home Supportive Care Agency

Other

Enumeration date
02/05/2010
Last updated
08/13/2019
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