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Individual

ADEBUSOLA A MATILUKURO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1900 DANSHIRE CT, BOWIE, MD 20721-3040
(301) 974-1094
Mailing address
9902 CLEARY LN, BOWIE, MD 20721-2804
(301) 821-6074

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
R172791
MD
251E00000X
Home Health Agency
R172791
MD
374U00000X
Home Health Aide
R172791
MD

Other

Enumeration date
07/09/2012
Last updated
11/10/2025
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