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1073003976
OMOTUNDE ADEMOLA
PHILADELPHIA, PA
NPI
1073003976
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: PA PN295126)
Enumeration Date
2018-05-16
Last Update Date
2018-05-16
Business Address
Miss OMOTUNDE ADEMOLA
5500 TABOR AVE
PHILADELPHIA, PA 19120-2124
Phone number: 215-245-2131
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Mailing Address
Miss OMOTUNDE ADEMOLA
3000 FORD RD APT K23
BRISTOL, PA 19007-1464
Phone number: 856-220-8488
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