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Individual

BOLANLE OLUWATOSIN OGUNBONA ANYANTUGA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
118 COLLEGE STATION DR, UPPER MARLBORO, MD 20774-1233
(202) 808-6727
Mailing address
118 COLLEGE STATION DR, UPPER MARLBORO, MD 20774-1233
(202) 808-6727

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Enumeration date
07/11/2012
Last updated
07/11/2012
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