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1356781801
OMODUNNI OSOFISAN
BRONX, NY
NPI
1356781801
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
213E00000X Podiatrist
(Licence: NY P75658)
Enumeration Date
2013-06-28
Last Update Date
2013-06-28
Business Address
-- OMODUNNI OSOFISAN
4422 3RD AVE
BRONX, NY 10457-2545
Phone number: 718-960-9000
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Mailing Address
-- OMODUNNI OSOFISAN
4 SMITH LN
MIDDLE ISLAND, NY 11953-1851
Phone number: 917-495-2713
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