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Individual

GRACE O ADEAGBO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2204 TORRANCE BLVD STE 102, TORRANCE, CA 90501-0502
(424) 488-2030
(424) 488-2202
Mailing address
9628 ADOREE ST, DOWNEY, CA 90242-4900
(562) 803-7800

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
635727
CA
163WH0200X
Home Health Registered Nurse
635727
CA
363LF0000X
Family Nurse Practitioner
95005218
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95005218
CA

Other

Enumeration date
11/20/2007
Last updated
06/25/2021
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