Individual
ADETOKUNBO JULIE OGUNNIYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2725 W GLEN FLORA AVE APT 617, WAUKEGAN, IL 60085-1465
(773) 751-9201
Mailing address
2725 W GLEN FLORA AVE APT 617, WAUKEGAN, IL 60085-1465
(773) 751-9201
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/05/2019
Last updated
04/05/2019
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