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1205542297
ADEBOWALE OSISANYA
EAST CHICAGO, IN
NPI
1205542297
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IN 71013569A)
Enumeration Date
2023-01-24
Last Update Date
2023-02-15
Business Address
ADEBOWALE OSISANYA PMHNP-BC
4321 FIR ST
EAST CHICAGO, IN 46312-3049
Phone number: 219-392-7466
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Mailing Address
ADEBOWALE OSISANYA PMHNP-BC
8558 BROADWAY
MERRILLVILLE, IN 46410-7032
Phone number: 219-392-7084
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