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1174540504
JOHNSON KOMOLAFE
SPRINGFIELD, VA
NPI
1174540504
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: MD R123830)
Enumeration Date
2006-07-15
Last Update Date
2007-07-08
Business Address
JOHNSON KOMOLAFE NP
7011 CALAMO ST #105
SPRINGFIELD, VA 22150
Phone number: 301-670-4250
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Mailing Address
JOHNSON KOMOLAFE NP
PO BOX 8057
ALEXANDRIA, VA 22306-8057
Phone number:
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