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1295102309
ADEBOWALE ALAO ADEDEJI
GRAND PRAIRIE, TX
NPI
1295102309
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QH0100X Clinic/Center Health Service
(Licence: TX 261QH0100X)
Enumeration Date
2015-08-24
Last Update Date
2015-08-24
Business Address
ADEBOWALE ALAO ADEDEJI OWNER/CEO
2613 HAWCO DR APT 1822 2613 HAWCO DR APT 1822
GRAND PRAIRIE, TX 75052-7668
Phone number: 214-705-5047
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Mailing Address
ADEBOWALE ALAO ADEDEJI OWNER/CEO
2613 HAWCO DR APT 1822 2613 HAWCO DR APT 1822
GRAND PRAIRIE, TX 75052-7668
Phone number: 214-705-5047
Copy
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