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1114686029
GBOLAHAN IDRIS OSHIKOYA
SAN LEANDRO, CA
NPI
1114686029
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 689592)
Enumeration Date
2021-12-08
Last Update Date
2021-12-08
Business Address
GBOLAHAN IDRIS OSHIKOYA LVN
15200 FOOTHILL BLVD
SAN LEANDRO, CA 94578-1013
Phone number: 510-352-9690
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Mailing Address
GBOLAHAN IDRIS OSHIKOYA LVN
15200 FOOTHILL BLVD
SAN LEANDRO, CA 94578-1013
Phone number:
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