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Individual

MOJISOLA S TELLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
820 W BELLE PLAINE AVE, APT 611, CHICAGO, IL 60613-2154
(773) 564-3812
(773) 549-7383
Mailing address
820 W BELLE PLAINE AVE, APT 611, CHICAGO, IL 60613-2154
(773) 564-3812
(773) 549-7383

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
04/21/2011
Last updated
04/21/2011
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