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1215304399
MODUPE ADEDEJI-FAJOBI
JAMAICA, NY
NPI
1215304399
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 490363-1)
Enumeration Date
2015-08-25
Last Update Date
2015-08-25
Business Address
MS. MODUPE ADEDEJI-FAJOBI RN
11014 SUTPHIN BLVD
JAMAICA, NY 11435-5716
Phone number: 516-205-2755
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Mailing Address
MS. MODUPE ADEDEJI-FAJOBI RN
731 CAROLINE AVE
VALLEY STREAM, NY 11580-1226
Phone number: 516-205-2755
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