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MRS. MOFOLUKE SOBOWALE NP

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1588334346

Individual Registrant:
MRS. MOFOLUKE  SOBOWALE NP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1863 MOUNT DENALI DR  WOODSTOCK, MD 21163-1483 US
Tel: 443-854-8563  Fax: --

Contact information for business:
1863 MOUNT DENALI DR  WOODSTOCK, MD 21163-1483 US
Tel: 443-854-8563  Fax: --

Registration Information:
NPI: 1588334346
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
MDR167280

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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