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Individual

MOSOBALAJE I ADEWOLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
22448 HALLCROFT TRL, SOUTHFIELD, MI 48034-5498
(313) 424-8371
Mailing address
22448 HALLCROFT TRL, SOUTHFIELD, MI 48034-5498
(313) 424-8371

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Enumeration date
10/16/2020
Last updated
11/09/2020
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