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Individual

ROSELINE AGBOOLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
933 E 103RD ST, BROOKLYN, NY 11236-2800
(678) 462-7715
Mailing address
933 E 103RD ST, BROOKLYN, NY 11236-2800
(678) 462-7715

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
533472
NY

Other

Enumeration date
06/25/2010
Last updated
06/25/2010
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