Individual
EMMANUEL ADEBO OLABODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
716 N MAIN ST STE B, DUNCANVILLE, TX 75116-5243
(972) 709-0309
(972) 709-0309
Mailing address
716 N MAIN ST STE B, DUNCANVILLE, TX 75116-5243
(972) 709-0309
(972) 709-0309
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
0094092
TX
Other
Enumeration date
10/11/2018
Last updated
10/11/2018
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