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Individual

ALLICIA VIVIENNE AJIBOLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3105 SUNSET DR E, JOPLIN, MO 64804-1359
(570) 540-2311
Mailing address
117 S LEXINGTON ST STE 100, HARRISONVILLE, MO 64701-2443
(816) 607-4926

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
MO
253Z00000X
In Home Supportive Care Agency
MO

Other

Enumeration date
11/06/2025
Last updated
11/06/2025
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