Individual
MR. KEHINDE KELVIN BUSARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
14 ORANGE ST, APT 6, MANCHESTER, NH 03104-6029
(770) 256-2978
Mailing address
14 ORANGE ST, APT 6, MANCHESTER, NH 03104-6029
(770) 256-2978
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
053011269
GA
Other
Enumeration date
04/17/2011
Last updated
04/17/2011
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