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1265285654
JESUTOFUNMI ADESANMI OMIYE
BRIDGEPORT, CT
NPI
1265285654
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-04-08
Last Update Date
2024-04-08
Business Address
JESUTOFUNMI ADESANMI OMIYE
267 GRANT ST
BRIDGEPORT, CT 06610-2805
Phone number: 203-384-3000
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Mailing Address
JESUTOFUNMI ADESANMI OMIYE
267 GRANT ST
BRIDGEPORT, CT 06610-2870
Phone number: 203-384-4442
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