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STEPHEN DEJI ADEDOKUN

>> Organized Health Care Education/Training Program >> Student

Registrant NPI Number: 1629575402

Individual Registrant:
 STEPHEN DEJI ADEDOKUN 
Gender: M
Sole Proprietor

Location and contact information for practice:
1710 HARRISON ST  BATESVILLE, AR 72501-7303 US
Tel: 870-262-1200  Fax: --

Contact information for business:
1710 HARRISON ST  BATESVILLE, AR 72501-7303 US
Tel: 870-262-1200  Fax: --

Registration Information:
NPI: 1629575402
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y390200000XStudent
Organized Health Care Education/Training Program

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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