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Organization

FAIRVILLE OASIS, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. OLUWASEYE ALABI D.O (MANAGER)
(443) 852-2730
Entity
Organization

Contact information

Practice address
600 KENSINGTON DR, APT 613, JACKSONVILLE, NC 28546-7157
(443) 852-2730
Mailing address
600 KENSINGTON DR, APT 613, JACKSONVILLE, NC 28546-7157
(443) 852-2730

Taxonomy

Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
203620
NC

Other

Enumeration date
04/14/2015
Last updated
04/14/2015
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