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Individual

MR. MICHAEL OSAS ADEYIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA, EDS

Contact information

Practice address
19 MILL RD, IRVINGTON, NJ 07111-1009
(908) 967-9690
Mailing address
25 QUABECK AVE, HILLSIDE, NJ 07205-1007
(908) 967-9690

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
NJ

Other

Enumeration date
02/17/2018
Last updated
02/17/2018
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