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1285026278
OLUMIDE OKUNIYI OKUSANYA
SAN BERNARDINO, CA
NPI
1285026278
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor Mental Health
Enumeration Date
2015-02-27
Last Update Date
2024-09-11
Business Address
OLUMIDE OKUNIYI OKUSANYA
900 E GILBERT ST STE 4
SAN BERNARDINO, CA 92415-1878
Phone number: 909-531-2440
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Mailing Address
OLUMIDE OKUNIYI OKUSANYA
PO BOX 1878
RIALTO, CA 92377-1878
Phone number: 909-458-1505
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