Organization
ABAYOMI SAMUEL SOGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABAYOMI SAMUEL SOGE (REGISTERED NURSE)
(614) 202-9526
Entity
Organization
Contact information
Practice address
579 OLDE CASTLE CT, GALLOWAY, OH 43119-9336
(614) 202-9526
Mailing address
579 OLDE CASTLE CT, GALLOWAY, OH 43119-9336
(614) 202-9526
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
RN. 316469
OH
Other
Enumeration date
10/29/2008
Last updated
10/29/2008
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