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Individual

MRS. ADEKUNBI OLUWAWEMIMO ODUSANYA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
54 DOREEN DR, STATEN ISLAND, NY 10303-2135
(718) 619-5088
Mailing address
54 DOREEN DR, STATEN ISLAND, NY 10303-2135
(718) 619-5088

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
473041-1
NY

Other

Enumeration date
04/28/2016
Last updated
04/28/2016
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