MICHAEL G OMOTOLA

GRAND PRAIRIE, TX
NPI1124505615
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2018-07-26
Last Update Date2018-07-26
Business Address
MICHAEL G OMOTOLA PA-C
2520 W I 20
GRAND PRAIRIE, TX 75052-7280
Phone number: 512-363-3257
Mailing Address
MICHAEL G OMOTOLA PA-C
417 W 20TH ST UNIT 11386
NORFOLK, VA 23517-1287
Phone number: 512-363-3257
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