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1154099240
ABIODUN OLUWAGBENGA SOBOWALE
PHILADELPHIA, PA
NPI
1154099240
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224P00000X Prosthetist
(Licence: PA PO000261)
Enumeration Date
2021-09-02
Last Update Date
2021-09-02
Business Address
ABIODUN OLUWAGBENGA SOBOWALE
600 WASHINGTON AVE STE 18UC
PHILADELPHIA, PA 19147-4836
Phone number: 215-298-0608
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Mailing Address
ABIODUN OLUWAGBENGA SOBOWALE
71 LYDIA DR STE 18UC
SMYRNA, DE 19977-1912
Phone number: 732-500-0612
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