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Individual

ABIDEMI MARY AJUWON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN, CNS

Contact information

Practice address
3420 CINNABAR ST, WEST LAFAYETTE, IN 47906-7208
(765) 838-0434
Mailing address
3420 CINNABAR ST, WEST LAFAYETTE, IN 47906-7208
(765) 838-0434

Taxonomy

Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
28176442A
IN

Other

Enumeration date
01/18/2013
Last updated
01/18/2013
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