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1295005973
SAMSON A OMOTOSHO
BALTIMORE, MD
NPI
1295005973
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0808X Registered Nurse Psychiatric/Mental Health
(Licence: MD R115849)
Enumeration Date
2012-01-11
Last Update Date
2012-01-11
Business Address
DR. SAMSON A OMOTOSHO
2300 GARRISON BLVD SUITE 104
BALTIMORE, MD 21216-2335
Phone number: 410-233-6200
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Mailing Address
DR. SAMSON A OMOTOSHO
10701 CHAPELDALE RD
RANDALLSTOWN, MD 21133-1044
Phone number: 443-858-3189
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