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Individual

KUBURAT ADENIKE ADEWALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4110 INDIAN PAINTBRUSH LN, HEARTLAND, TX 75126-0796
(469) 258-1064
Mailing address
4110 INDIAN PAINTBRUSH LN, HEARTLAND, TX 75126-0796
(469) 258-1064

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
1009431
TX

Other

Enumeration date
10/05/2020
Last updated
10/05/2020
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