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Individual

FOLAKE OYEWUNMI AGBALAYA

Active
Sole proprietor
No

Provider details

NPI number
Gender
X

Contact information

Practice address
1171 107TH ST, GRAND PRAIRIE, TX 75050-2502
(972) 597-0843
Mailing address
1515 WILD INDIGO DR, MANSFIELD, TX 76063-4688

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1078418
TX

Other

Enumeration date
11/04/2025
Last updated
11/04/2025
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