MODUPE HARRIET AJISAFE

JACKSON, MS
NPI1306632344
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MS  T5940)
Enumeration Date2025-04-16
Last Update Date2025-11-05
Business Address
Miss MODUPE HARRIET AJISAFE M.D
DEPARTMENT OF FAMILY MEDICINE 2500 N STATE ST
JACKSON, MS 39216
Phone number: 601-984-5426
Mailing Address
Miss MODUPE HARRIET AJISAFE M.D
1855 LAKELAND DR APT 415
JACKSON, MS 39216-0005
Phone number: 346-370-2417
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