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Individual

FATAI OLUGBENGA OBISESAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
250 BOSTON AVE, STRATFORD, CT 06614-5211
(203) 583-5596
Mailing address
250 BOSTON AVE, STRATFORD, CT 06614-5211
(203) 583-5596

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
832968
NY

Other

Enumeration date
08/02/2024
Last updated
08/02/2024
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