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Individual

DR. ADEREMI A. JAIYEOLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
630 W MAPLE ST, FARMINGTON, NM 87401-6113
(505) 609-6349
Mailing address
PO BOX 844088, DALLAS, TX 75284-4088
(505) 609-2258

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
33409
KY
207RG0100X
Gastroenterology Physician
Primary
36062
NE
207RG0100X
Gastroenterology Physician
62199
WI
207RG0100X
Gastroenterology Physician
MD2026-0227
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201308470
IN
05
7100455730
KY
Enumeration date
02/14/2006
Last updated
03/25/2026
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