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1285192963
TAIWO OKUBANJO
FORT WORTH, TX
NPI
1285192963
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP139920)
Enumeration Date
2019-03-12
Last Update Date
2019-03-12
Business Address
TAIWO OKUBANJO FNP-C
4601 SENECA DR
FORT WORTH, TX 76137-6141
Phone number: 682-556-1274
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Mailing Address
TAIWO OKUBANJO FNP-C
4601 SENECA DR
FORT WORTH, TX 76137-6141
Phone number: 682-556-1274
Copy
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