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Individual

MOSHOOD LAWAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4 MARIGOLD CIR, NORTH PROVIDENCE, RI 02904-3866
(401) 228-5478
(401) 223-6865
Mailing address
4 MARIGOLD CIR, NORTH PROVIDENCE, RI 02904-3866
(401) 228-5478
(401) 223-6865

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
9818754
RI

Other

Enumeration date
12/19/2018
Last updated
12/19/2018
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