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OLABISI A ADEBOWALE NA

>> Contractor >> Other Service Providers

Registrant NPI Number: 1447296322

Individual Registrant:
 OLABISI A ADEBOWALE NA
Gender: F
Sole Proprietor

Location and contact information for practice:
24877 SUNNYMEAD BLVD  MORENO VALLEY, CA 92553-3702 US
Tel: 951-924-8500  Fax: 951-924-0151

Contact information for business:
24877 SUNNYMEAD BLVD  MORENO VALLEY, CA 92553-3702 US
Tel: 951-924-8500  Fax: 951-924-0151

Registration Information:
NPI: 1447296322
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y171W00000XOther Service Providers
Contractor
CA103355

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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