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Individual

ADEOLA ODUNAYO FASANMADE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2405 E MONUMENT ST, BALTIMORE, MD 21205-2542
(410) 276-4092
(410) 276-4094
Mailing address
2405 E MONUMENT ST, BALTIMORE, MD 21205-2542
(410) 276-4092
(410) 276-4094

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26364
MD

Other

Enumeration date
04/08/2019
Last updated
04/08/2019
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