Individual
MRS. DEBORAH ADENIKE OLU-ILESANMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2011 W IRVING BLVD, IRVING, TX 75061-4353
(469) 328-1789
(817) 417-4488
Mailing address
2011 W IRVING BLVD, IRVING, TX 75061-4353
(469) 328-1789
(817) 417-4488
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251E00000X
Home Health Agency
—
—
Other
Enumeration date
03/09/2009
Last updated
10/02/2009
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