Individual
ADEBAYO ADEPOJU ODEDERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PRESIDENT
Contact information
Practice address
2006 LANCEY DR, LANCEY DRIVE, THOMASVILLE, NC 27360-8909
(336) 491-9677
Mailing address
2006 LANCEY DR, LANCEY DRIVE, THOMASVILLE, NC 27360-8909
(336) 491-9677
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
27-0097711
NC
376K00000X
Nurse's Aide
27-0097711
NC
Other
Enumeration date
02/16/2011
Last updated
02/16/2011
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