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Individual

MR. ALABA TOSIN KEHINDE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
22620 SE 4TH ST STE 130, SAMMAMISH, WA 98074-7375
(701) 226-9939
Mailing address
22620 SE 4TH ST STE 130, SAMMAMISH, WA 98074-7375
(701) 226-9939

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61289559
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
R47424
ND

Other

Enumeration date
03/29/2022
Last updated
08/31/2023
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