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1336796465
OMOBOLANLE M. ADENUGA
WALDORF, MD
NPI
1336796465
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MD R214177)
Enumeration Date
2019-08-22
Last Update Date
2022-06-10
Business Address
OMOBOLANLE M. ADENUGA CRNP-F
11636 PORT ROYAL AVE
WALDORF, MD 20602-5193
Phone number: 240-755-1452
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Mailing Address
OMOBOLANLE M. ADENUGA CRNP-F
3565 ELLICOTT MILLS DR STE B2
ELLICOTT CITY, MD 21043-4549
Phone number: 443-272-5506
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