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1285784033
ADEBOLA OMOLARA ILESANMI
WINSTON SALEM, NC
NPI
1285784033
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NC 201969)
Enumeration Date
2007-01-12
Last Update Date
2009-01-13
Business Address
Mrs. ADEBOLA OMOLARA ILESANMI FNP
601 S MARTIN LUTHER KING JR DR ROOM 244
WINSTON SALEM, NC 27110-0001
Phone number: 336-750-3300
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Mailing Address
Mrs. ADEBOLA OMOLARA ILESANMI FNP
601 SOUTH M.L.K. JR. DRIVE ROOM 244
WINSTON SALEM, NC 27110-0001
Phone number: 336-750-3300
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